Drug Tariff Part IX November 2019.pdf - NHSBSA

581
305 11/2019 Part IX APPLIANCES (APPROVED LIST OF APPLIANCES - NOTES) Part IX - Appliances (Approved list of Appliances - Notes) APPROVED LIST OF APPLIANCES See Part II, Clause 8A (page 9) The price listed in respect of an appliance specified in the following list is the basic price (see Part II, Clause 8) on which payment will be calculated pursuant to Part I, Clause 5B in respect of the dispensing of appliances. NOTES 1. Definition - The appliances that may be supplied against orders on Forms FP10 are listed below and must conform with the specifications shown. See Part 1, Clause 2 (page 4). These specifications include published official standards ie BP, BPC or relevant British, European or International Standards or the Drug Tariff Technical Specification. It should be emphasized that any appliance must conform with the entry in this part of the Tariff as well as the official standard or technical specification quoted therein. Other dressings and appliances which may be necessary will normally be provided through the Hospital Services. 2. Sealed Packets - These are those which are "tamper-evident" - sealed with an easily detachable device that prevents removal of the contents without the seal being broken. Additionally in the case of sterile products: once a sealed package has been opened it should not be possible to re-seal it easily. Where an appliance, other than a bandage, required by the Tariff to be supplied in a sealed packet is ordered of a quantity or weight not listed in the Tariff, the quantity ordered should be made up as nearly as possible with the smallest numbers of sealed packets available for the purpose. Where the quantity ordered is less than the smallest quantity/weight, supply the smallest pack. The quantity of material in each packet supplied should be recorded on the prescription form. 3. Quality - Any medical device placed on the market in the UK has to be CE marked by the manufacturer in accordance with the safety, quality and performance requirements laid down in the EC Medical Devices Directive 93/42/EC and the Medical Devices Regulations 2002 (as amended) which transposes the Directive in to UK law. Manufacturers are required to obtain certification from a third party conformity assessment organisation known as a notified body for all but the lowest risk devices. Notified bodies have been designated as competent to undertake this function by the regulatory authority in the registering member state. In the UK this is the Medicines and Healthcare products Regulatory Agency (MHRA). There are a number of conformity assessment routes that the manufacturers can adopt to demonstrate conformity with the requirements of the Directive but the majority use a quality system approach. More details of the CE marking process can be obtained from the MHRA, 151 Buckingham Palace Road, Victoria, London. SW1W 9SZ or from their website http:// www.mhra.gov.uk/Howweregulate/Devices/index.htm . 4. Weights - All weights specified in the Tariff in respect of appliances are exclusive of wrappings and packing material. 5. Invoice price - This is the price chargeable for the appliance to the contractor by the manufacturer, wholesaler or supplier. 6. Technical Specifications - Numbered Technical Specifications for the items in Part IXA/B/C were published separately in 1981 in loose leaf volume and a revised list was published in 1983. The Specifications will not be reprinted annually but individual specifications will be introduced, amended and reprinted, or withdrawn, as necessary. A list of Technical Specifications is given on page 306. CE marked Devices have shown that they meet the essential requirements of the Medical Devices Regulations 2002 and there is no further need for them to demonstrate compliance with other specifications, such as those referred to above. 7. Nurse Prescribing - See Part XVIIB for details of Nurse Prescribing.

Transcript of Drug Tariff Part IX November 2019.pdf - NHSBSA

305

11/2019 Part IXAPPLIANCES (APPROVED LIST OF APPLIANCES - NOTES)

Part IX - Appliances (Approved list of Appliances - Notes)

APPROVED LIST OF APPLIANCESSee Part II, Clause 8A (page 9)

The price listed in respect of an appliance specified in the following list is the basic price (see Part II, Clause 8) on which payment will be calculated pursuant to Part I, Clause 5B in respect of the dispensing of appliances.

NOTES

1. Definition - The appliances that may be supplied against orders on Forms FP10 are listed below andmust conform with the specifications shown. See Part 1, Clause 2 (page 4). These specificationsinclude published official standards ie BP, BPC or relevant British, European or International Standardsor the Drug Tariff Technical Specification. It should be emphasized that any appliance must conformwith the entry in this part of the Tariff as well as the official standard or technical specification quotedtherein. Other dressings and appliances which may be necessary will normally be provided through theHospital Services.

2. Sealed Packets - These are those which are "tamper-evident" - sealed with an easily detachabledevice that prevents removal of the contents without the seal being broken. Additionally in the case ofsterile products: once a sealed package has been opened it should not be possible to re-seal it easily.Where an appliance, other than a bandage, required by the Tariff to be supplied in a sealed packet isordered of a quantity or weight not listed in the Tariff, the quantity ordered should be made up as nearlyas possible with the smallest numbers of sealed packets available for the purpose. Where the quantityordered is less than the smallest quantity/weight, supply the smallest pack. The quantity of material ineach packet supplied should be recorded on the prescription form.

3. Quality - Any medical device placed on the market in the UK has to be CE marked by the manufacturerin accordance with the safety, quality and performance requirements laid down in the EC MedicalDevices Directive 93/42/EC and the Medical Devices Regulations 2002 (as amended) whichtransposes the Directive in to UK law. Manufacturers are required to obtain certification from a thirdparty conformity assessment organisation known as a notified body for all but the lowest risk devices.Notified bodies have been designated as competent to undertake this function by the regulatoryauthority in the registering member state. In the UK this is the Medicines and Healthcare productsRegulatory Agency (MHRA). There are a number of conformity assessment routes that themanufacturers can adopt to demonstrate conformity with the requirements of the Directive but themajority use a quality system approach. More details of the CE marking process can be obtained fromthe MHRA, 151 Buckingham Palace Road, Victoria, London. SW1W 9SZ or from their website http://www.mhra.gov.uk/Howweregulate/Devices/index.htm.

4. Weights - All weights specified in the Tariff in respect of appliances are exclusive of wrappings andpacking material.

5. Invoice price - This is the price chargeable for the appliance to the contractor by the manufacturer,wholesaler or supplier.

6. Technical Specifications - Numbered Technical Specifications for the items in Part IXA/B/C werepublished separately in 1981 in loose leaf volume and a revised list was published in 1983. TheSpecifications will not be reprinted annually but individual specifications will be introduced, amendedand reprinted, or withdrawn, as necessary. A list of Technical Specifications is given on page 306. CEmarked Devices have shown that they meet the essential requirements of the Medical DevicesRegulations 2002 and there is no further need for them to demonstrate compliance with otherspecifications, such as those referred to above.

7. Nurse Prescribing - See Part XVIIB for details of Nurse Prescribing.

306

11/2019 Part IXAPPLIANCES (LIST OF TECHNICAL SPECIFICATIONS)

Part IX - Appliances (List of Technical Specifications)

LIST OF TECHNICAL SPECIFICATIONS

These specifications are available from:NHS Business Services Authority,NHS Prescription ServicesDrug Tariff Team3rd Floor AnnexBridge House152 Pilgrim StreetNewcastle upon TyneNE1 6SN

Spec No.

Date oflast

revision

Absorbent Cotton, Hospital Quality 1 1981

BandagesHigh Compression (Extensible) 52 5/1992

Contraceptive DevicesVaginal Contraceptive Caps (Pessaries) 8 1981

DressingsPovidone Iodine Fabric 43 1988Sterile Dressing Pack 10 1981Sterile Dressing Pack with NW Pads 35 1/1991

Elastic HosieryGraduated Compression 40 1988Suspender Belt 13 1981

Gauze TissuesGauze and Cotton Tissue 14 1983

Latex Foam Adhesive 19 1981

Pessaries 20 1981

ProtectivesEMA Film Gloves, Disposable 21 1981

StockinetteElasticated Surgical Tubular, Foam Padded 25 1983

SwabsNon-Woven Fabric 28 3/1993Non-Woven Fabric, Filmated 29 1981

TrussesSpring 31a 1981Elastic Band 31b 1981

307

11/2019 Part IXAAPPLIANCES

Part IXA - Appliances

Part IXA-Appliances

Appliance Size or Weight Basic Price pABSORBENT COTTONS each

Absorbent Cotton BP 1988 25g 79Where no quantity is stated on the prescription the 25gpack is to be supplied.

100g 179500g 604

Absorbent Cotton, Hospital Quality 100g 125Specification 1 500g 393To be supplied only where specifically ordered.

ACNE TREATMENTAknicare

Cream 50ml 1200Lotion 25ml 1300

Aknicare SRSkin Roller 5ml 1000

ADHESIVE DRESSING REMOVER STERILE - SILICONE BASEDAppeel Sterile foam applicator 5 391Appeel Sterile medical adhesive remover spray 100ml 1650Appeel Sterile single use sachet 5ml 118Appeel Sterile single use wipes 30 1582

ANAL IRRIGATION SYSTEMProducts marked with the symbol o in this category must be dispensed with a supply of wipesand disposal bags.All products in this category receive a home delivery fee of 340pAquaflush Actif Irrigation Cone Systemo Starter Set AFAS 7700

(Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 coneswrapped in glove/disposal bag, 1 strap, 1 washbag)

o Monthly Set AFAM 9900(Contains 1 water bag, 1 pump, 1 hook for water bag, 15 cones wrapped in glove/disposal bag)

Aquaflush Compact Systemo Starter Set AFCS 3395

(Contains 1 pump, 5 cones, 5 glove/disposal bags, 1 wash bag)o Monthly Set AFCM 5800

(Contains 1 pump, 15 cones, 15 glove/disposal bags)

Aquaflush Compact+ Systemo Starter Set AFCPS 3395

(Contains 1 pump, 5 cones, 5 disposal bags, 5 lubricant sachets, 1 wash bag, 1extension tube)

o Monthly Set AFCPM 5800(Contains 1 pump, 15 cones, 15 disposal bags, 15 lubricant sachets)

Aquaflush Lite Systemo Starter Set AFLS 7300

(Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 7 cones, 7lubricant sachets, 1 washbag)

o Monthly Set AFLM 9500(Contains 1 water bag, 1 pump, 16 cones, 16 lubricant sachets)

o Refill Pack AFLA 5800(Contains 15 cones, 15 lubricant sachets)

Aquaflush Quick Systemo Starter Set AFQS 7700

(Contains 1 water bag, 1 pump, 1 hook for water bag, 1 extension tube, 5 cones, 5 glove/disposal bags, 1 strap, 1 washbag)

o Monthly Set AFQM 9900(Contains 1 water bag, 1 pump, 15 cones, 15 glove/disposal bags)

308

11/2019 Part IXAAPPLIANCES

ANAL IRRIGATION SYSTEM pack of 2Aquaflush Extension Tubes AFExtn 612

eachAquaflush Small Cone Refill Pack AFSC 5800o (Contains 15 cones, 15 disposal bags, 15 lubricant sachets)

per pairAquaflush Straps AFStrap 509

IryPump S (B Braun Medical) eacho IryPump S Set 29120E 50285o IryCone+ 29220E 6169

IryPump Container 29240 4272

Navina Classic Control Unit 69013 5816

o Navina Classic System 69005 7601(System includes 1 Navina Classic control unit, 1 water container, 1 tube set, 2rectal catheters, 1 accessory set, 1 Navina case)

o Navina Classic System - small 69007 7543(System includes 1 Navina Classic control unit, 1 water container, 1 tube set, 2small rectal catheters, 1 accessory set, 1 Navina case)

o Navina Classic System - refill 69006 7601(Contains 1 Navina Classic control unit, 1 water container, 1 tube set, 2 rectalcatheters)

o Navina Classic System - Cone 69017 7462(System contains 1 Navina Classic control unit, 1 water container, 1 tube set, 2rectal cones, 1 accessory set, 1 Navina case)

Navina Smart Control Unit 69014 30405(Contains Navina Smart control unit, 1 charger, 1 power adaptor)

o Navina Smart System 69009 30405(System includes 1 control unit, 2 rectal catheters, 1 water container, 1 tube set, 1accessory set, 1 Navina case)

o Navina Smart System - small 69010 30175(System includes 1 control unit, 2 small rectal catheters, 1 water container, 1 tubeset, 1 accessory set, 1 Navina case)

o Navina Smart System - Cone 69019 29850(System includes 1 control unit, 2 rectal cones, 1 water container, 1 tube set, 1accessory set, 1 Navina case)

o Navina Consumable Set 69003 13167(Contains 15 rectal catheters, 1 water container)

o Navina Consumable Set - small 69004 13068(Contains 15 small rectal catheters, 1 water container)

o Navina Consumable Set - Cone 69016 11600(Contains 15 rectal cones, 1 water container)

pack of 10o Navina Rectal Catheter Set 68940 8295

(Contains 10 rectal catheters)

o Navina Rectal Catheter Set - small 68943 8233(Contains 10 small rectal catheters)

eachNavina Tube Set 69011 892

(Contains 1 catheter tube, 1 water container tube)

Appliance Size or Weight Basic Price p

309

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

ANAL IRRIGATION SYSTEM eacho Peristeen System 29121 7753

(System includes 1 control unit, 2 rectal catheters, 1 water bag, 2 straps)o Peristeen System - small 29126 7753

(System includes 1 control unit, 2 rectal catheters, 1 water bag, 1 strap)

o Peristeen Accessory Unit 29122 13512(Contains 15 rectal catheters, 1 water bag)

o Peristeen Accessory Unit - small 29127 13512(Contains 15 rectal catheters, 1 water bag)

o Peristeen Rectal Catheters pack of 10(Contains 10 rectal catheters) 29123 8639

o Peristeen Rectal Catheters - small 29128 8639(Contains 10 rectal catheters)

per pairPeristeen Straps 29124 554

pack of 2Peristeen Tubes 29125 775

Qufora Irrigation System (MacGregor Healthcare Ltd) eacho IrriSedo Bed System (5 Irrigation Set) - 12mm 53201-055 5044K

(Contains 1 water bag with pump, 5 rectal catheters 12mm, 5 collection bags, 5 gelsachets)

o IrriSedo Bed System (5 Irrigation Set) - 21mm 53001-055 5044K(Contains 1 water bag with pump, 5 rectal catheters 21mm, 5 collection bags, 5 gelsachets)

o IrriSedo Bed System (5 Irrigation Set) - 30mm 53101-055 5044K(Contains 1 water bag with pump, 5 rectal catheters 30mm, 5 collection bags, 5 gelsachets)

o IrriSedo Bed System (15 Irrigation Set) - 12mm 53201-015 15133K(Contains 1 water bag with pump, 15 rectal catheters 12mm, 15 collection bags, 15gel sachets)

o IrriSedo Bed System (15 Irrigation Set) - 21mm 53001-015 15133K(Contains 1 water bag with pump, 15 rectal catheters 21mm, 15 collection bags, 15gel sachets)

o IrriSedo Bed System (15 Irrigation Set) - 30 mm 53101-015 15133K(Contains 1 water bag with pump, 15 rectal catheters 30mm, 15 collection bags, 15gel sachets)

o Irrisedo Balloon System - Base Set (Regular) 58101-002 7076K(Contains 1 control unit with velcro strap, 1 water bag, 2 hydrophilic rectal ballooncatheters (regular))

o IrriSedo Balloon System - Base Set (Small) 58102-002 7076K(Contains 1 control unit with velcro strap, 1 water bag, 2 hydrophilic rectal ballooncatheters (small))

o IrriSedo Balloon System - Accessory Set (Regular) 58201-015 11625K(Contains 1 water bag, 15 hydrophilic rectal balloon catheters (regular))

o IrriSedo Balloon System - Accessory Set (Small) 58202-015 11625K(Contains 1 water bag, 15 hydrophilic rectal balloon catheters (small))

310

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

ANAL IRRIGATION SYSTEM eacho IrriSedo Balloon System - Catheter Set (Regular) 58301-010 7986K

(Contains 10 hydrophilic rectal balloon catheters (regular))o IrriSedo Balloon System - Catheter Set (Small) 58302-010 7986K

(Contains 10 hydrophilic rectal balloon catheters (small))

IrriSedo Cone Systemo Starter Set QTS 7865K

(Contains 1 pump, 1 water bag, 5 hydrophilic coated cones, 5 waste bags, 1 toiletbag)

o 15 Irrigation Set QTM 10277K(Contains 1 pump, 1 water bag, 15 hydrophilic coated cones, 15 waste bags)

o Accessory Set 52601-015 5964K(Contains 15 hydrophilic cones)

o IrriSedo Klick Catheter Set QKCATH 13180(Contains 15 catheters, 1 Klick tube, 1 water bag, 1 soft bag)

IrriSedo Klick Control Unit QKCONTROL 4980(Contains 1 control unit, 1 leg strap)

o IrriSedo Klick Starter Set QKSTART 8680(Contains 5 catheters, 1 Klick tube, 1 control unit, 1 water bag, 1 leg strap, 1 hook,1 toilet bag)

o IrriSedo Mini System(15 irrigation set)

53601-015 5964K

(Contains 1 pump, 15 Hydrophilic coated cones, 15 waste bags)o IrriSedo Mini System

(30 irrigation set)53601-030 11929K

(Contains 1 pump, 1 conebag, 30 Hydrophilic cones)pack of 15

Qufora IrriSedo Extension Tube 52715-015 4549K

APPLICATORS - VAGINALType 1. (Estriol) 160

NB 1 Where an Estriol Cream pack ordered by the prescriber does not include an applicator, and thecontractor considers that one is required, an Estriol Vaginal Applicator should be supplied and theprescription form endorsed accordingly.

2 For details of prescription charges payable, See Part XVI, Sub paragraph 12.14.8

ARM SLINGSWeb, Adjustable 211

AUTO INFLATION DEVICE (for the treatment of Glue Ear)Otovent 669

BACTERIAL DECOLONISATION PRODUCTSProntoderm Foam 200ml bottle 369

Prontoderm Nasal Gel 30ml tube 522

Octenisan md Nasal Gel 6ml tube 376

Appliance Size or Weight Basic Price p

311

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pBANDAGES each1. The term "bandage" used in a prescription form without qualification is to be interpreted to mean an

Open-Wove Bandage, Type 1 BP 5cm x 5m. All bandages supplied are to be of the lengths and widthsspecified in the Tariff. Where a bandage longer than those specified in the Tariff is ordered, the number ofbandages which will, in total, provide the length nearest to that ordered should be supplied. Where abandage in a width other than those specified is ordered, the next wider specified width should besupplied.

2. All bandages to be supplied completely wrapped as received from the manufacturer or wholesaler. ElasticAdhesive Bandages and Plaster of Paris Bandages to be supplied sealed in containers as received fromthe manufacturer or wholesaler. Except where otherwise stated all bandages possessing elasticity to benot less than 4.5m in length when fully stretched.Conforming Bandage (Synthetic)Hospiform 6cm x 4m (stretched) 14

8cm x 4m 1710cm x 4m 2012cm x 4m 24

Cotton Conforming Bandage BP 1988Type AEasifix Crinx 5cm x 3.5m 70

7.5cm x 3.5m 8610cm x 3.5m 10615cm x 3.5m 145

Cotton Crêpe BandageHospicrepe 239 5cm 44

7.5cm 6310cm 8115cm 118

Cotton Crêpe Bandage BP 1988 7.5cm 32010cm 411

Cotton, Polyamide and Elastane BandageHospilite 5cm 38

7.5cm 5210cm 6315cm 93

Neosport 5cm 547.5cm 7310cm 9115cm 112

Setocrepe 10cm 122

Soffcrepe 5cm 717.5cm 10010cm 12715cm 185

Cotton Stretch Bandage BP 1988Hospicrepe 233 5cm 52

7.5cm 7210cm 9615cm 136

PremierBand 5cm 457.5cm 6310cm 7915cm 118

Crêpe Bandage BP 1988 5cm 1027.5cm 14310cm 18715cm 272

312

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pBANDAGES each

Elastic Adhesive Bandage BP 1993 5cm 377(Syn: Zinc Oxide Elastic Adhesive Bandage) 7.5cm 545Where no size is stated by the prescriber 7.5cm size shouldbe supplied.

10cm 726

Elastomer and Viscose Bandage, Knitted BS compression type 2, for light supportClinilite 5cm 45

7.5cm 6210cm 8115cm 118

K-Lite 5cm x 4.5m 574.5m stretched 7cm x 4.5m 78

*10cm x 4.5m 10315cm x 4.5m 149

K-Lite Long5.25m stretched *10cm x 5.25m 118

Knit-Firm 5cm 367cm 51

10cm 6615 cm 96

BS compression type 3a, for light compressionCliniplus 10cm x 8.7m 183

Elset6m stretched 10cm x 6m 266

15cm x 6m 2858m stretched 10cm x 8m 340

Elset S12m stretched 15cm x 12m 570

K-Plus8.7m stretched *10cm x 8.7m 233

K-Plus Long10.25m stretched *10cm x 10.25m 270

L38.6m Stretched 10cm x 8.6m 228

High Compression Bandage (Extensible)K-ThreeC *10cm x 3m unstretched 291SurePress 10cm x 3m unstretched 375K

Specification No. 52P.E.C. High Compression BandageSyns: Polyamide, Elastane, and Cotton Compression (High) Extensible Bandage; "PECCHE" BandageSetopress 10cm x 3.5m unstretched 361V.E.C. High Compression BandageSyns: Viscose, Elastane, and Cotton Compression (High) Extensible Bandage; "VECCHE" BandageTensopress 7.5cm x 3m unstretched 278

10cm x 3m unstretched 358* see also Multi Layer Compression Bandaging

313

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pBANDAGES each

Multi-layer Compression Bandaging3M Health Care Ltd

Coban 2 - multi-layer compression bandage kit 5cm x 2.7m 51210cm x 3.5m 84010cm x 4.5m 1199

Coban 2 Lite - multi-layer compression bandage kit one size 840Coban Self-Adherent Bandage 10cm x 6m (stretched) 298

Aspen Medical EuropeAndoFlex TLC - 2 layer compression bandage kit with malodour control (latex free)

one size 725

AndoFlex TLC Lite - 2 layer compression bandage kit with malodour control (latex free)

one size 725

AndoFlex TLC-XL - 2 layer compression bandage kit with malodour control (latex free)

one size 851

AndoFlex TLC Zinc Lite - 2 layer compression kit (latex free) 7.5cm 52910cm 640

BSN medical LtdJobst Compri2 - two-layer compression bandage kit 18-25cm 682

25-32cm 780Jobst Compri2 lite - two-layer compression bandage kit 18-25cm 682

25-32cm 859Jobst Comprifore - multi-layer compression bandage kit 18-25cm 699

Jobst Comprifore kits contain a combination of the following components:X Jobst Comprifore #1 10cm x 3.5m (unstretched) 45X Jobst Comprifore #2 10cm x 4.5m (stretched) 97X Jobst Comprifore #3 10cm x 8.7m (stretched) 221X Jobst Comprifore #4 10cm x 2.5m (unstretched) 275

Jobst Comprifore Latex-free - multi layer compression bandage kit

18-25cm 737

Jobst Comprifore Latex-free kits contain a combination of the following components:X Jobst Comprifore #1 Latex-free 10cm x 3.5m (unstretched) 43X Jobst Comprifore #2 Latex-free 10cm x 4.5m (stretched) 93X Jobst Comprifore #3 Latex-free 10cm x 8.7m (stretched) 230X Jobst Comprifore #4 Latex-free 10cm x 2.5m (unstretched) 287

Jobst Comprifore Lite - multi-layer compression bandage kit 18-25cm 458

Jobst Comprifore Lite kits contain a combination of the following components:X Jobst Comprifore #1 10cm x 3.5m (unstretched) 45X Jobst Comprifore #2 10cm x 4.5m (stretched) 97X Jobst Comprifore #4 10cm x 2.5m (unstretched) 275

Jobst Comprifore Lite Latex-free - multi-layer compression bandage kit

18-25cm 493

Jobst Comprifore Lite Latex-free kits contain a combination of the following components:X Jobst Comprifore #1 Latex-free 10cm x 3.5m (unstretched) 43X Jobst Comprifore #2 Latex-free 10cm x 4.5m (stretched) 93X Jobst Comprifore #4 Latex-free 10cm x 2.5m (unstretched) 287

Velband Absorbent Padding Bandage - listed on page 318 10cm x 4.5m 75

Xto be deleted 1 December 2019

314

11/2019 Part IXAAPPLIANCES

BANDAGES eachConvaTec Limited

SurePress Absorbent Padding - listed on page 318 10cm x 3m 58

H & R Healthcare Ltd see Hero Healthcare Ltd

Hero Healthcare Ltd (formerly H & R Healthcare Ltd)Hero H-2 - multi-layer compression bandage kit 18-25cm 763Hero H-2 Lite - multi-layer compression bandage kit 18-25cm 763Hero H-2 XL - multi-layer compression bandage kit 25-32cm 843

Hero H-2 kits contain a combination of the following components:Hero H-2 layer 1 10cm x 3.5m 482Hero H-2 layer 2 10cm x 5m 398Hero H-2 Lite layer 2 10cm x 5m 398Hero H-2 XL layer 1 10cm x 5m 483Hero H-2 XL layer 2 10cm x 6.5m 491

L&R Medical UK LtdActico 2C - multi-layer compression bandage kit 18-25cm 823

25-32cm 926Actico 2C kits contain a combination of the following components:Actico 2C Comfort layer 1 10cm x 3.5m 445Actico 2C Compression layer 2 10cm x 6m 409

Lohmann & RauscherCellona Undercast Padding - listed on page 318 5cm x 2.75m 32

7.5cm x 2.75m 3910cm x 2.75m 4815cm x 2.75m 62

Rosidal Soft 10cm x 2.5m 53612cm x 2.5m 65615cm x 2.5m 828

Robinson Healthcare(Ultra Four Non-latex Bandages)Ultra Four - multi-layer compression bandage kit up to 18cm 648

18-25cm 573Ultra Four RC - multi-layer compression bandage kit 18-25cm 419

Ultra Four kits contain a combination of the following components:Ultra Soft Wadding Bandage (layer #1) - listed on page 318 10cm x 3.5m (unstretched) 39Ultra Lite (layer #2) 10cm x 4.5m (stretched) 86Ultra Plus (layer #3) 10cm x 8.7m (stretched) 191Ultra Fast Cohesive Bandage (layer #4) 10cm x 6.3m (stretched) 262

Smith & Nephew Healthcare LtdProfore - multi-layer compression bandage kit up to 18cm 1055

18-25cm 98325-30cm 816

above 30cm 1222Profore Lite - multi-layer compression bandage kit above 18cm 567

Profore kits contain a combination of the following components:Profore Wound Contact Layer 14cm x 20cm 33Profore #1 - listed on page 318 10cm x 3.5m (unstretched) 73Profore #2 10cm x 4.5m (stretched) 140Profore #3 10cm x 8.7m (stretched) 407Profore #4 10cm x 2.5m (unstretched) 337Profore + 10cm x 3m (unstretched) 381

Appliance Size or Weight Basic Price p

315

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

BANDAGES eachProfore Latex Free - multi-layer compression bandage kit 18-25cm 1050Profore Lite Latex Free - multi-layer compression bandage kit

above 18cm 617

Profore Latex Free kits contain a combination of the following components:Profore #1 Latex-free 10cm x 3.5m (unstretched) 79Profore #2 Latex-free 10cm x 4.5m (stretched) 148Profore #3 Latex-free 10cm x 8.7m (stretched) 443Profore #4 Latex-free 10cm x 2.5m (unstretched) 366Profore + Latex-free 10cm x 3m (unstretched) 407

Urgo LtdK-Four - multi-layer compression bandage kit Less than 18cm 735

18-25cm 70325cm - 30cm 703

Greater than 30cm 969K-Four - Reduced Compression - multi layer compression bandage kit

18cm + 460

K-Four kits contain a combination of the following components:K-Soft (layer #1) - listed on page 318 10cm x 3.5m (unstretched) 47K-Lite (layer #2) - listed on page 312 10cm x 4.5m (stretched) 103K-Plus (layer #3) - listed on page 312 10cm x 8.7m (stretched) 233Ko-Flex (layer #4) 10cm x 6m (stretched) 310K-ThreeC - listed on page 312 10cm x 3m unstretched 291K-Soft Long (layer #1) - listed on page 318 10cm x 4.5m (unstretched) 58K-Lite Long (layer #2) - listed on page 312 10cm x 5.25m (stretched) 118K-Plus Long (layer #3) - listed on page 312 10cm x 10.25m (stretched) 270Ko-Flex Long (layer #4) 10cm x 7m (stretched) 355

UrgoKTwo - multi-layer compression bandage kit 0 (short) 69518-25cm (8cm) 777

18-25cm (10cm) 82418-25cm (12cm) 1039

25-32cm (8cm) 84525-32cm (10cm) 90025-32cm (12cm) 1135

UrgoKTwo Latex Free - multi-layer compression bandage kit

18-25cm (10cm) 87525-32cm (10cm) 956

UrgoKTwo Reduced - multi-layer compression bandage kit 18-25cm 82425cm - 32cm 901

UrgoKTwo Reduced Latex Free - multi-layer compression bandage kit

18-25cm (10cm) 87525-32cm (10cm) 956

UrgoKTwo with UrgoStart - multi-layer compression bandage kit

18-25cm 102725-32cm 1095

316

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

BANDAGES eachOpen-Wove Bandage, Type 1 BP 1988 2.5cm x 5m 34

(Syn: White open-wove bandage) 5cm x 5m 587.5cm x 5m 8210cm x 5m 107

Plaster of Paris Bandage BP 1988Gypsona 7.5cm x 2.7m 176

10cm x 2.7m 233

Polyamide and Cellulose Contour BandagePeha-haft (Cohesive/Latex Free) 2.5cm x 4m 75

4cm x 4m 496cm x 4m 588cm x 4m 69

10cm x 4m 7912cm x 4m 93

PremierBand 5cm x 4m 127.5cm x 4m 1410cm x 4m 1715cm x 4m 25

Polyamide and Cellulose Contour Bandage, BP 1988(Nylon & Viscose Stretch Bandage)Length 4m stretched

Size Basic Price (p) each

Acti-Wrap(Cohesive/

Latex Free)

Easifix Kontour Mollelast Slinky Stayform

4cm - - - 31 - -5cm - 36 28 - - 296cm 48 - - - - -7.5cm - 44 35 - 60 368cm 71 - - - - -10cm 84 52 40 - 72 4015cm - 89 66 - 105 69

317

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

BANDAGES eachPolyamide and Cellulose Contour Bandage, Knitted BP 1988Easifix K 2.5cm 10For dressing retention - Length 4m stretched 5cm 11

7.5cm 1710cm 1915cm 33

K-Band 5cm 21For dressing retention - Length 4m stretched 7cm 27

10cm 2915cm 51

Knit-Band 5cm 10For dressing retention - Length 4m stretched 7cm 16

10cm 1815cm 31

Knit Fix 5cm 12For dressing retention - Length 4m stretched 7cm 17

10cm 1715cm 33

Short Stretch Compression BandageIndications: Venous leg ulcers and lymphoedemaActico (Cohesive) 4cm x 6m 248

6cm x 6m 2918cm x 6m 334

10cm x 6m 34712cm x 6m 443

Clinistretch 4cm x 6m 2426cm x 6m 2838cm x 6m 325

10cm x 6m 33812cm x 6m 431

Clinistretch Short 6cm x 5m 2658cm x 5m 317

10cm x 5m 34612cm x 5m 420

Comprilan 6cm x 5m 2778cm x 5m 325

10cm x 5m 35012cm x 5m 426

Rosidal K 6cm x 5m 2728cm x 5m 325

10cm x 5m 35510cm x 10m 617

12cm x 5m 430

318

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

BANDAGES eachSub-compression Wadding BandageCellona Undercast Padding2.75m unstretched *5cm x 2.75m 32

*7.5cm x 2.75m 39*10cm x 2.75m 48*15cm x 2.75m 62

Clinistretch Soft 10cm x 2.75m 472.75m unstretched

Flexi-Ban3.5m unstretched 10cm x 3.5m 52

K-Soft3.5m unstretched *10cm x 3.5m 47

K-Soft Long4.5m unstretched *10cm x 4.5m 58

Ortho-Band Plus3.5m unstretched 10cm x 3.5m 37

Profore #1 (100% Natural Fleece)3.5m unstretched *10cm x 3.5m 73

Softexe3.5m unstretched 10cm x 3.5m 62

SurePress Absorbent Padding *10cm x 3m 58

Ultra Soft Wadding Bandage 3.5m unstretched *10cm x 3.5m 39

Velband Absorbent Padding Bandage4.5m unstretched *10cm x 4.5m 74

* see also Multi-layer Compression Bandaging

319

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

BANDAGES eachSuspensory Bandage, Cotton Note: type supplied to be endorsed.Type 1 Small 177Cotton net bag with draw tapes and webbing waistband Medium 177

Large 177Ex-large 187

Type 2 Small 196Cotton net bag with elastic edge and webbing waistband Medium 202

Large 209Ex-large 217

Type 3 Small 211Cotton net bag with elastic edge and webbing waistband with insertion of elastic centre-front

Medium 211Large 211

Ex-large 218

Triangular Calico Bandage BP 1980 Sides - 90cm 128Base - 127cm

Two-layer Cohesive Compression SystemsIndications: Lymphoedema3M Health Care Ltd

Coban 2 Comfort Foam Layer (layer #1) 5cm x 1.2m 29110cm x 3.5m 75915cm x 3.5m 115320cm x 3.5m 1326

Coban 2 Compression Layer (layer #2) 5cm x 2.7m 14510cm x 4.5m 48815cm x 4.5m 727

Coban 2 Lite Comfort Foam Layer (layer #1) 7.5cm x 2.7m 47810cm x 2.7m 59215cm x 2.7m 894

Coban 2 Lite Compression Layer (layer #2) 2.5cm x 3.5m 2297.5cm x 3.5m 36410cm x 3.5m 46815cm x 3.5m 634

Zinc Paste BandagesZinc Paste (10%) Bandage BP 1993

Viscopaste PB7 (10%) 7.5cm x 6m 378Zinc Paste (6%) and Ichthammol (2%) Bandage BP 1993

Ichthopaste (6/2%) 7.5cm x 6m 382

320

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pBLADDER INSTILLATION each

Chondroitin SulfateGepan Instill (contains chondroitin sulfate 0.2%) pre-filled syringe 40ml 6800

Hyaluronic AcidCystistat (contains 40mg of sodium hyaluronate) 50ml 9800Hyacyst (contains 40mg of sodium hyaluronate) 50ml 7000Hyacyst (contains 40mg of sodium hyaluronate) pre-filled syringe 50ml 7000Hyacyst (contains 120mg of sodium hyaluronate) pre-filled syringe 50ml 7000Instylan (contains 80mg of sodium hyaluronate) 50ml 4800

Hyaluronic Acid and Chondroitin SulfateiAluRil 50ml 8800(contains 800mg of sodium hyaluronate and 1g sodium chondroitin sulfate)

BREAST RELIEVER Plasticised PVC polymer bulb with glass or polycarbonate receiver 60ml approx. 507

BREAST SHIELDS per pairPlastic circular - (Not to be confused with Nipple Shields) 477

CATHETERS, ACCESSORIES pack of 5All products in this category receive a home delivery fee of 340pBard Comfasure Catheter Retainer Strap SM3404 Small 1492

AD3403 Adult 1492AB3405 Abdominal 1552

Bard StatLock Foley Catheter Stabilisation DeviceFor use with All Silicone and Latex Foley catheters FOL0102DT 1302

pack of 100Cath-Fix 630M-S Small 1187

630M-M Medium 1187630M-L Large 1187

eachCath-It Catheter Insertion/Removal Pack 908410 Small/Medium 198

908420 Medium/Large 198908430 Large/Extra Large 198

pack of 10CliniFix Tube Holder 40-310 110mm x 25mm 1788

40-410 140mm x 40mm 1956

Grip-Lok Catheter securement device 3300M Medium 23003400L Large 2350

Grip-Lok Foley Catheter securement deviceFor use with all designs of Foley Catheter 3400LFC 2350

321

11/2019 Part IXAAPPLIANCES

CATHETERS, ACCESSORIESLINC Medical Systems Ltd (formerly L.IN.C. Medical Systems Ltd) pack of 10

Bladder Infusion Kit MCI/701 2006each

FIX Strip 996(4 straps and 1 pair of scissors)

pack of 10LockBand LB-F01 1600

pack of 10MultiFix Gentle 3031 Small 2329

3030 Large 2379

P. Grip Catheter Retaining Strap eachCS.01 1 x leg strap (38mm x 600mm) 1 x green velcro tab (20mm x 130mm) 2 x self adhesive micro hooktabs (43mm x 25mm)

270

CS.02 1 x abdominal strap (38mm x 900mm) 1 x green velcro tab (20mm x 130mm) 2 x self adhesive micro hooktabs (43mm x 25mm)

286

CS.TABS 1 x green velcro tab (20mm x 130mm) 10 x self adhesive micro hooktabs (43mm x 25mm)

241

Prosys Vesica Community Catheterisation Pack VESCP-01 888Prosys Vesica Community Catheterisation Pack LT VESCP-02 888

pack of 30SpeediBag Compact 28592 2127

pack of 5Ugo fix gentle 3004 1269

For the fixation of foley catheters

CATHETER MAINTENANCE PRODUCTSAll products in this category receive a home delivery fee of 340pCatheter Inflation Solution with Antimicrobial eachFarco-fill Protect 10ml 493K

Catheter Maintenance SolutionsOptiFlo G (CSG50) 50ml 366

3.23% Citric Acid (Suby G) (CSG100) 100ml 366

OptiFlo R (CSR50) 50ml 3666.0% Citric Acid (Solution R) (CSR100) 100ml 366

OptiFlo S (CSS50) 50ml 3450.9% Saline (CSS100) 100ml 345

Uro-Tainer NaCI 0.9% (FB99849) 50ml 357(FB99833) 100ml 357

Uro-Tainer PHMB (FB99965) 100ml 3460.02% Polihexanide

Uro-Tainer Twin Solutio R (9746625) 2 x 30ml 4896.0% Citric Acid

Uro-Tainer Twin Suby G (9746609) 2 x 30ml 4893.23% Citric Acid

Appliance Size or Weight Basic Price p

322

11/2019 Part IXAAPPLIANCES

Catheters

Catheters

CATHETERS, URINARY, URETHRAL 1. Catheter sizes are designated by the Charrière (Ch) gauge system - even numbers only. (The equivalent

metric sizes for Charrière gauges 6-30 are 2.0mm-10.0mm, rising in 0.66mm). Where size is not statedby the prescriber, size 14 or 16 should be supplied.

2. If a balloon size is not stated by the prescriber when ordering a Foley catheter, a 10ml balloon cathetershould be supplied - a 5ml balloon in the case of a paediatric catheter.

3. Where the brand is not stated by the prescriber, the basic price of each listed cathetersupplied must not exceed:

Basic Price p

Nélaton (Male) 42Nélaton (Female) 38Nélaton (Paediatric) 38Foley (Male) short/medium term 221Foley (Female) short/medium term 221Foley (Paediatric) short/medium term 451Foley (Male) long term 429Foley (Female) long term 429Foley (Paediatric) long term 450

Where the specification of the Foley Catheter is not specified by the prescriber and not endorsed asshort/medium or long term the dispenser will be paid no more than the lowest basic price listed which iscurrently 219p.

4. 5-units of plastic catheters, for example, represents on average one month's supply for patients practisingintermittent catheterisation.

5. For names and addresses of suppliers see pages 606-6076. The rate of use of single use Nélaton catheters is approximately between 6 and 45 times greater than

reusable Nélaton catheters for patients practising intermittant catheterisation.

All products in this category receive a home delivery fee of 340p unless marked with the symbol M. Products marked with this symbol receive a fee of 930p.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

(A)(i) Nélaton Catheter ('ordinary' cylindrical Catheter) Bard Ltd

M Bard Reliacath Plastic pack of 5 (Male) (D5030) 12-16 780(Female) (D5031) 12-16 780(Paediatric) (D5032) 10 780

Coloplast LtdM Self-Cath pack of 30

(Male) (408-416) 8-16 3509(Female) (210-214) 10-14 3509(Paediatric) (306-308) 6-8 3509(Male Coude Taper Tip) (612-614) 12-14 4884(Male Coude Olive Tip) (810-816) 10-16 4884

Hunter Urology LtdM HunterCath non-coated ISC pack of 30

(Male) (SCM10-SCM16) 10-16 4973(Female) (SCF08-SCF14) 8-14 4973(Paediatric) (SCP06-SCP10) 6-10 4973

323

11/2019 Part IXAAPPLIANCES

Catheters

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p(A)(i) Nélaton Catheter ('ordinary' cylindrical Catheter)

M Smooth Nelaton pack of 30 (Male) (SNM08-SNM14) 8-14 3444 (Female) (SNF08-SNF14) 8-14 3444 (Paediatric) (SNP06-SNP10) 6-10 3444

Pennine Healthcare LtdM Pennine pack of 10

(Male) (NC-1212/FP-1216/FP) 12-16 416(Female) (FC-1410/FP-1414/FP) 10-14 380(Paediatric) (NC-1206/FP/25-1210/FP/25) 6-10 380

M Pennine Pre-Lube catheter with integral PVC capsule containing lubragel pack of 10(Male) (NC1608/FP-NC1616/FP) 8-16 995(Male) (NC1608/BG/FP-NC1616/BG/FP)

(including 1 litre integral bag)8-16 1152

(Female) (FC1608/FP-FC1616/FP) 8-16 995

TeleflexM Rusch PVC Riplex Jaques pack of 5

(Male) (DT6115-5) 8-16 753 (Female) (DT6114-5) 8-16 686

M Rusch PVC Riplex Extra Long (76cm) pack of 5(Male/Female) (DT6116) 8-14 763

M Rusch Soft Rubber Jaques pack of 5(DT5143-5) 8-14 655

M SafetyCat non-coated ISC pack of 50 (Male) (22082210-22082216) 10-16 7733 (Female) (22082110-22082116) 10-16 7733 (Paediatric) (22082008-22082010) 8-10 7733

P Unomedical Ltd pack of 5M (Male) (ZT01007182-ZT01013182) 10-16 591M (Male Paediatric) (ZT01004182) 8 591M (Female) (ZT02015182-ZT02017182) 10-14 591

WyMedical LtdM WyCath Uncoated 4 eyelets soft tip catheter pack of 30

(Standard) (U4SM10-U4SM16) 10-16 4350

M WyCath Uncoated catheter pack of 30(Paediatric) (WUP05, UP06) 5-6 3300(Paediatric Tiemann Tip) (UTP06-UTP08) 6-8 4200

M WyCath Uncoated catheter with soft tip pack of 30(Male) (USM10-USM16) 10-16 4350(Female) (USF08-USF12) 8-12 4350(Paediatric) (USP08-USP10) 8-10 4350

M WyCath Uncoated catheter with tapered tip pack of 30(Male) (UTAM10-UTAM16) 10-16 4200(Female) (UTAF08-UTAF12) 8-12 4200(Paediatric) (UTAP06-UTAP10) 6-10 4200

Pto be deleted 1 January 2020

324

11/2019 Part IXAAPPLIANCES

Catheters

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use

Bard LtdM Bard Interglide Coated Intermittent Catheter pack of 25

(Male) (D6030) 8-18 3679 (Female) (D6031) 8-18 3679 (Paediatric) (D6032) 8-10 3679

M Bard HydroSil Go Intermittent Catheter pack of 30(Male) (73810G-73820G) 10-20 5150(Female) (71808-71818) 8-18 4767(Paediatric) (72806G-72810G) 6-10 5150

M HydroSil gripper pack of 30(Male) (73610-73618) 10-18 4605(Paediatric) (72606-72610) 6-10 4552

M HydroSil rose pack of 30(Female) (71410-71418) 10-18 4768

M HydroSil Silicone Hydrophilic Personal Catheter with integral water pack pack of 30(Male) (63610M-63618M) 10-18 4463(Female) (71610-71618) 10-18 4478

M HydroSil discreet pack of 30(Female) (61610C-61618C) 10-18 4463

B.Braun Medical LtdM B.Braun Medical Actreen Glys Luer Lock pack of 10

(Male) (227208E-227216E) 8-16 1528(Female) (227308E-227316E) 8-16 1528(Male Olive Tip Tiemann) (227408E-227416E) 8-16 1528

M B.Braun Medical Actreen Hi-Lite pack of 30(Male) (238208E-238216E) 8-16 4570(Female) (238306E-238316E) 6-16 4570(Tiemann) (238108E-238116E) 8-16 4570

M B.Braun Medical Actreen Lite Cath pack of 30(Female/Paediatric 20cm) (228306E-228316E) 6-16 4685(Male) (228208E-228218E) 8-18 4685(Male Olive Tip Tiemann) (228108E-228118E) 8-18 4685

M B.Braun Medical Actreen Mini Cath pack of 30(Female) (228008E-228016E) 8-16 4467

C S Bullen LtdM C S Bullen Ltd Hi-Slip Hydrophilic Catheter pack of 30

(Male) (HS.SM4008-HS.SM4022) 8-22 3090(Female) (HS.SF2008-HS.SF2016) 8-16 3090(Paediatric 20cm) (HS.SP2006-HS.SP2010) 6-10 3090(Paediatric 30cm) (HS.SP3006-HS.SP3010) 6-10 3090(Tiemann) (HS.ST4010-HS.ST4020) 10-20 3469

M C S Bullen Ltd Hi-Slip Plus Hydrophilic Catheter with water sachet pack of 30(Male) (HS.PM4008-HS.PM4024) 8-24 3311(Female) (HS.PF2008-HS.PF2016) 8-16 3311(Paediatric 20cm) (HS.PP2006-HS.PP2010) 6-10 3311(Paediatric 30cm) (HS.PP3006-HS.PP3010) 6-10 3311(Tiemann) (HS.PT4010-HS.PT4020) 10-20 3784

325

11/2019 Part IXAAPPLIANCES

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single use

CliniMed LtdM Curan Advantage pack of 30

(Male) (WHM10-WHM16) 10-16 3941(Female) (WHF08-WHF14) 8-14 3941(Unisex) (WHU08-WHU14) 8-14 3941

M Curan Lady pack of 30(Female) (CL08-CL14) 8-14 4283

M Curan Man pack of 30(Male) (CM12-CM16) 12-16 4678K

CliniSupplies LtdM Prosys SensaCath Hydrophilic Intermittent Catheter pack of 30

(Male) (PSCM10-PSCM18) 10-18 3750(Female) (PSCF10-PSCF16) 10-16 3750

Coloplast LtdM Conveen EasiCath pack of 25

(Male Nélaton) (5348-5362) 8-22 3191(Female) (5368-5376) 8-16 3191(Tiemann Tip) (5382-5386) 12-16 3191

M SpeediCath (Pre-Hydrated Polyurethane) pack of 30(Male) (28408-28418) 8-18 4591 (Female) (28506-28516) 6-16 4591 (Paediatric) (28706-28710) 6-10 4591 (SpeediCath 30cm) (28606-28612) 6-12 4591 (Tiemann) (28490-28496) 10-16 4591

M SpeediCath Compact pack of 30(Male) (28692) 12/18 (one size) 5556(Female) (28576) 6 4754

(28578-28584) 8-14 4748

M SpeediCath Compact Eve pack of 30(Female) (28110-28114) 10-14 5184

M SpeediCath Compact Plus pack of 30(Female) (28810-28814) 10-14 4993

M SpeediCath Control pack of 30(Male) (28212) 12 4754

M SpeediCath Flex pack of 30(Male) (28920-28924, 28916) 10-16 5510

M SpeediCath Flex pocket size pack of 30(Male) (28910-28914) 10-14 5465

326

11/2019 Part IXAAPPLIANCES

Catheters

(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single useConvaTec Limited

M GC Air pack of 30(Female) (421723) 14 5400

M GC Glide Hydrophilic Catheter with water sachet pack of 30(Male) (421564, 421569) 8, 18 3750(Female) (421570) 8 3750(Tiemann Tip) (421907-421912) 8-18 3750

M GentleCath Glide Hydrophilic Catheter with water sachet pack of 30(Male) (421565-421568) 10-16 3789(Female) (421571-421574) 10-16 3789

Covidien UK Commercial Ltd M VaQua pack of 30

(Male) (VAQ08M-VAQ18M) 8-18 3242(Female) (VAQ08F-VAQ18F) 8-18 3242(Paediatric) (VAQ08P-VAQ10P) 8-10 3242

Great Bear Healthcare Ltd M Great Bear Healthcare Ltd Cubcath pack of 30

(Male) (AVM10-AVM16) 10-16 4155(Female) (AVF08-AVF14) 8-14 4155(Paediatric) (AVP06-AVP10) 6-10 4155

GTA (UK) Ltd M GTA (UK) Ltd Idrocath pack of 20

(Male) (50010) 8-24 1940(Female) (50011) 8-18 1940 (Paediatric) (50012) 6-10 1940 (Child) (50013) 8-10 1940

Hollister LtdM Hollister Advance Intermittent catheters with protective tip pack of 25

(Male) (92084-92184) 8-18 3699(Female) (92062-92142) 6-14 3699

M Hollister Infyna Chic Hydrophilic Intermittent Catheter pack of 30(Female) (7008-7014) 8-14 5040

M Hollister Infyna Hydrophilic Intermittent Catheter pack of 30(Female 17cm) (88081-88141) 8-14 4767

M Hollister InstantCath pack of 25(Male) (9670-9673) 10-16 3437(Female) (9674-9676) 10-14 3437(Paediatric) (9677-9678) 6-8 3437

pack of 30M Hollister VaPro F-Style (7600084-7600164) 8-16 5335

M Hollister VaPro Hydrophilic Catheter with integrated hydrating vapour strip pack of 30(Male 40cm) (72084-72164) 8-16 5376(Female 20cm) (72082-72142) 8-14 5376(Tiemann) (73124-73164) 12-16 5326

M Hollister VaPro Pocket Hydrophilic Intermittent Catheter pack of 30(Male 40cm) (70104-70164) 10-16 5333(Female 20cm) (70102-70142) 10-14 5337

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

327

11/2019 Part IXAAPPLIANCES

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single useHunter Urology Ltd

M Hunter Urology Ltd Aloe Hydro pack of 30(Male) (AHM10-AHM16) 10-16 5129(Female) (AHF08-AHF14) 8-14 5129(Paediatric) (AHP06-AHP10) 6-10 5129

M Hunter Urology Ltd Aloe Original pack of 30(Male) (ABM10-ABM18) 10-18 4544(Female) (ABF08-ABF14) 8-14 4544(Paediatric) (ABP06-ABP10) 6-10 4544

M Hunter Urology Ltd Aloe Original Plus pack of 30(Male) (PSAOM10-PSAOM16) 10-16 5226(Female) (PSAOF08-PSAOF14) 8-14 5226(Paediatric) (PSAOP06-PSAOP10) 6-10 5226

M Hunter Urology Ltd Aloe Hydro Plus pack of 30(Male) (PSAHM10-PSAHM16) 10-16 5335(Female) (PSAHF08-PSAHF14) 8-14 5335(Paediatric) (PSAHP06-PSAHP10) 6-10 5335

MacGregor Healthcare LtdM Qufora Onestep Hydrophilic Intermittent Catheter pack of 30

(Male) (351412-351416) 12-16 3791K(Female) (351210-351214) 10-14 3791K

M Qufora Twostep Hydrophilic Intermittent Catheter pack of 30(Male) (361412-361416) 12-16 2608K(Female) (361210-361214) 10-14 2608K

Manfred Sauer UK LtdM Manfred Sauer UK Ltd iQ Cath pack of 30

(Male) (IQ2004.10-IQ2004.18) 10-18 4791

M Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic) pack of 30(Male) (IQ2704.10-IQ2704.18) 10-18 4705

M Manfred Sauer UK Ltd iQ Cath with external saline sachet (Hydrophilic) double wrapped

pack of 30

(Male) (IQ2714.10-IQ2714.18) 10-18 4705

M Manfred Sauer UK Ltd iQ Cath Easy Hydrophilic pack of 30(Male) (IQ4004.10-IQ4004.18) 10-18 4512

328

11/2019 Part IXAAPPLIANCES

Catheters

(A)(ii) Nélaton Catheter ('ordinary' cylindrical Catheter) Single useM Manfred Sauer UK Ltd iQ Cath Gel+ pack of 30

(Male) (IQ3204.10-IQ3204.18) 10-18 5287

M Manfred Sauer UK Ltd iQ Cath Hydrophilic with integrated saline sachet pack of 30(Male) (IQ2104.10-IQ2104.18) 10-18 4706

M Manfred Sauer UK Ltd iQ Cath Integral Gel Sachet pack of 30(Male) (IQ3104.10-IQ3104.18) 10-18 4744

M Manfred Sauer UK Ltd iQ Cath Original Solo Hydrophilic double wrapped pack of 30(Male) (IQ2014.10-IQ2014.18) 10-18 4718

M Manfred Sauer UK Ltd iQ Cath Solo for Gel pack of 30(Male) (IQ3004.12-IQ3004.16) 12-16 4718

M Manfred Sauer UK Ltd iQ Cath Solo for Gel double wrapped pack of 30(Male) (IQ3014.12-IQ3014.16) 12-16 4718

Mediwatch UK LtdM Mediwatch UK Ltd uCath pack of 30

(Male 40cm) (M08-M18) 8-18 3540(Female 12cm) (F1208-F1216) 8-16 3540(Female 18cm) (F1808-F1816) 8-16 3540(Paediatric 30cm) (P06-P10) 6-10 3540

M Mediwatch UK Ltd uCath H2O with water sachet pack of 30(Male) (uCath/HM08-uCath/HM18) 8-18 3840(Female 12cm) (uCath/HF1208-uCath/HF1216) 8-16 3840(Female 18cm) (uCath/HF1808-uCath/HF1816) 8-16 3840(Paediatric) (uCath/HP06-uCath/HP10) 6-10 3840

Peak Medical LtdM Peak Medical Ltd UltraSmooth Aqua hydrophilic catheter with water sachet pack of 30

(Male) (USA4208-USA4218) 8-18 3720(Female) (USA1408-USA1418) 8-18 3720(Paediatric) (USA3408-USA3410) 8-10 3720(Male Tiemann Tip) (USAT4210-USAT4216) 10-16 4140

M Peak Medical Ltd UltraSmooth MCath4 with 4 drainage eyes pack of 60(40cm) (USM4008-USM4018) 8-18 6300

M Peak Medical Ltd UltraSmooth Plus Hydrophilic Catheter pack of 25(Male) (USP4008-USP4018) 8-18 2375(Female) (USP1808-USP1818) 8-18 2375

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

329

11/2019 Part IXAAPPLIANCES

Catheters

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

(A)(ii) Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single useRochester Medical

M HydroSil Silicone Hydrophilic Personal Catheter with integral water pack pack of 30Q (Paediatric) (62606-62610) 6-10 4462

TeleflexM Liquick Base pack of 60

(Male) (630010-630016) 10-16 8617(Female) (630106-630114) 6-14 8617(Paediatric) (630208-630210) 8-10 8617(Tiemann Tip) (631012-631016) 12-16 8617

M Liquick Pure pack of 30(Female) (851321-000080-000140) 8-14 4585(Female Ergothan Tip) (851322-000080-000140) 8-14 4678

M Liquick X-treme pack of 30(Male 40cm) 851842-000120-000160 12-16 5095(Female 20cm) 851822-000120-000140 12-14 5095

M Mobile SL pack of 60(Male) (580010G-580016G) 10-16 8617(Female) (580108G-580114G) 8-14 8617(Paediatric) (580208G-580210G) 8-10 8617(Tiemann Tip) (581012G-581016G) 12-16 8617

M MobiLoc pack of 60(Female) (550114G) 14 8309(Male) (550012G-550014G) 12-14 8309(Paediatric) (550208G-550210G) 8-10 8309

M MobiStom with gel pack of 60(Male 40cm) (570014G-570018G) 14-18 8925(Tiemann Tip 40cm) (571014G) 14 8925(Nelaton Tip 40cm) (572014G) 14 8925

M Rusch Flocath Hydro Gel pack of 30(Female) (851121) 8-16 3611(Paediatric) (851131) 6-10 3611(Male) (851141) 8-20 3611(Male Tiemann Tip) (851143) 10-18 3611

M Rusch Flocath quick, with integral 0.9% sterile saline solution pack of 30(Female) (851221) 8-14 3735

16-20 3735(Male) (851241) 8-18 3735

20 3735

M SafetyCat Active pack of 30(Male) (851741-000120-000160) 12-16 5170(Male Ergothan Tip) (851742-000100-000160) 10-16 5170(Male Tiemann Tip) (851743-000120-000160) 12-16 5170(Female Ergothan Tip) (851722-000060-000140) 6-14 5170(Paediatric Ergothan Tip) (851732-000080-000100) 8-10 5170

QThis product code will change in the January 2020 Drug Tariff

330

11/2019 Part IXAAPPLIANCES

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p(A)(ii) Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single use

Vesica Urology LtdM OptiSmooth Hydrophilic pack of 30

(Male) (OS4008-OS4018) 8-18 3540(Female) (OS1808-OS1816) 8-16 3540(Female Mini) (OS1208-OS1216) 8-16 3540(Paediatric) (OS3006-OS3010) 6-10 3540

M OptiSmooth Mitro with 4 staggered drainage eyes pack of 60(40cm) (OSM4008-OSM4018) 8-18 7680(50cm) (OSM5008-OSM5018) 8-18 7680

M OptiSmooth Mitro XL with 4 extra large heat polished drainage eyes pack of 60(40cm) (OSMXL4010-OSMXL4014) 10-14 7680

Wellspect HealthCareM Wellspect HealthCare LoFric (non PVC) pack of 30

(Male) (4000825-4002225) 8-22 4251(Female15cm) (4040825-4041425) 8-14 4365(Female 20cm) (4030825-4031825) 8-18 4365(Paediatric 20cm) (4010625) 6 4365(Paediatric 30cm) (4020825-4021025) 8-10 4365(Tiemann Tip) (4051025-4051825) 10-18 4230

M Wellspect HealthCare LoFric Insti-Cath pack of 30(Male 40cm) (4070825-4071425) 8-14 4543(Female 20cm) (4080825-4081425) 8-14 4543(Paediatric 20cm) (4400825-4401025) 8-10 4543(Tiemann 40cm) (4091200) 12 3743

pack of 25P (Tiemann) (821200) 12 3743

M Wellspect HealthCare LoFric Origo with water pack of 30(Male 40cm) (4431025-4431825) 10-18 5261(Paediatric 30cm) (4420825-4421225) 8-12 5261(Tiemann 40cm) (4441025-4441825) 10-18 5261

M Wellspect HealthCare LoFric Primo non-PVC with integrated water pocket pack of 30(Male) (4100825-4101825) 8-18 4731(Female 15cm) (4140825-4141425) 8-14 4865(Female 20cm) (4130825-4131825) 8-18 4865(Paediatric) (4110625-4111025) 6-10 4865(Tiemann Tip) (4151025-4151825) 10-18 4714

M Wellspect HealthCare LoFric Sense pack of 30(Female 15cm) (4160825-4161425) 8-14 4865

WyMedical LtdM WyCath H2O hydrophilic 4 eyelets catheter with water sachet (Soft Tip) pack of 30

(Male 40cm) (W4SM10-W4SM16) 10-16 4530

M WyCath H2O hydrophilic catheter with water sachet pack of 30(Male 40cm) (W2M10-W2M16) 10-16 4140(Female 18cm) (W2F08-W2F12) 8-12 4140(Female Short 11cm) (W2SH08-W2SH12) 8-12 4140(Paediatric 30cm) (W2P06-W2P10) 6-10 4140

Pto be deleted 1 January 2020

331

11/2019 Part IXAAPPLIANCES

Catheters

Gauge (Ch)

Appliance (See Note 1 - page 322) Basic Price p

(A)(ii) Nélaton Catheter (‘ordinary’ cylindrical Catheter) Single useM WyCath H2O hydrophilic catheter with water sachet (Soft Tip) pack of 30

(Male 40cm) (W2SM10-W2SM18) 10-18 4530(Female 18cm) (W2SF08-W2SF14) 8-14 4530(Paediatric 30cm) (W2SP08-W2SP10) 8-10 4530

M WyCath H2O hydrophilic catheter with water sachet (Tapered Tip) pack of 30(Male 40cm) (W2TAM10-W2TAM18) 10-18 4350(Female 18cm) (W2TAF08-W2TAF14) 8-14 4350(Paediatric 30cm) (W2TAP06-W2TAP10) 6-10 4350

M WyCath H2O hydrophilic catheter with water sachet (Tiemann Tip) pack of 30(Male 40cm) (W2TM10-W2TM16) 10-16 4200(Paediatric 30cm) (W2TP06-W2TP10) 6-10 4200

(A)(iii) Dilatation Catheter without drainage eyesNot indicated for bladder emptying

Hunter Urology LtdM Hunter Urology Ltd Aloe Meatal pack of 30

(ALOEM10-ALOEM16) 10-16 4030

M Hunter Urology Ltd Aloe Meatal Plus pack of 30(ALOEMPS10-ALOEMPS18) 10-18 4095

M Hunter Urology Ltd Aloe Original Dilation pack of 30(ABD16-ABD18) 16-18 4010

Peak Medical LtdM Peak Medical Ltd UltraSmooth Hydrophilic Catheter pack of 25

(Male) (USD4012-USD4018) 12-18 3418

M Peak Medical Ltd UltraSmooth Hydrophilic Meatal Dilator pack of 30(Tapered Tip) (USMDT12-USMDT18) 12-18 3840

M Peak Medical Ltd UltraSmooth Meatal Dilator pack of 25(USMD08-18) 8-18 3418

Vesica Urology LtdM Vesica Urology Ltd OptiSmooth MD Hydrophilic Meatal Dilator pack of 30

Tapered tip (OSMDIL08-OSMDIL18) 8-18 3600

Wellspect HealthCareM Wellspect HealthCare LoFric Dila-Cath (non PVC) pack of 30

(4061625-4061825) 16-18 4190

WyMedical LtdM WyMedical Ltd WyCath Hydrophilic Meatal Dilator pack of 30

Standard tip (WCM08-WCM18) 8-18 3840Tapered tip (WMT08-WMT18) 8-18 4020

332

11/2019 Part IXAAPPLIANCES

Appliance BalloonSize (ml)

Gauge (Ch) Basic Price p

(See Note2

- page 322)

(See Note 1 - page 322)

(A)(iv) Nelaton Catheter with Urine Drainage BagB.Braun Medical Ltd

M B.Braun Medical Actreen Glys Set pack of 30(Male) (226208E-226218E) 8-18 6321(Female) (226306E-226316E) 6-16 6321(Male Tiemann) (226108E-226116E) 8-16 6321

(A)(v) Nélaton Catheter with Water Container and Urine Drainage BagC S Bullen Ltd

M Hi-Slip Kit pack of 20(Male) (HS.KM4008-HS.KM4018) 8-18 3221(Female) (HS.KF2008-HS.KF2016) 8-16 3221(Paediatric 20cm) (HS.KP2006-HS.KP2010) 6-10 3221(Paediatric 30cm) (HS.KP3006-HS.KP3010) 6-10 3221(Tiemann) (HS.KT4010-HS.KT4018) 10-18 3325

GTA(UK) LtdM Idrocath Kit pack of 20

(Male) (50110) 8-24 3234(Female) (50111) 8-18 3234(Paediatric) (50112) 6-10 3234(Child) (50113) 8-10 3234

Wellspect HealthCareM LoFric Hydro-Kit pack of 20

(Female) (4230825-4231825) 8-18 4021(Paediatric) (4210825-4211025) 8-10 4021

M LoFric Hydro-Kit (non PVC) pack of 20(Male) (4200825-4201825) 8-18 3858(Tiemann Tip) (4251025-4251825) 10-18 3894

(B)(i)(a) Foley Catheter - 2 Way (indwelling Nelaton catheter with Balloon)For Short/medium Term Use - Adult

Bard LtdBard PTFE Coated Latex pack of 1

(Male) (D1265LV) 10 12-26 275(D1266LV) 30 16-26 275

(Female) (D0169LV) 10 12-22 411

V Bard PTFE Aquamatic Coated Latex pack of 1(D1265AL) 10 12-22 314

VPre-filled with sterile water

333

11/2019 Part IXAAPPLIANCES

(B)(i)(a) Foley Catheter - 2 Way (indwelling Nelaton catheter with Balloon)For Short/medium Term Use - Adult

Teleflex Rüsch PTFE AquaFlate. PTFE Coated Latex with sterile water filled syringe forballoon inflation and empty syringe for balloon deflation

pack of 1

(Male) (DP310112 - DP310118) 10 12-18 221(Female) (DP210112 - DP210118) 10 12-18 221

(B)(i)(b) Foley Catheter - 2 Way (indwelling Nélaton catheter with balloon) For Short/Medium Term Use - PaediatricNote: Average period of use is 1 to 3 weeks

Bard pack of 1 PTFE Coated Latex (D0165PV) 5 8-10 761

Coloplast LtdFolatex Silicone Coated Latex pack of 1

(AP1408-AP1410) 5 8-10 451

(B)(ii)(a)Foley Catheter - 2 Way For Long Term Use - AdultNote: Average period of use is 3 to 12 weeks

Bard LtdM Bard Bardex I.C. Bard Tray pack of 1

(Male) (D23655S12-16) 10 12-16 1832(D23655M12-16) 10 12-16 1832(D23655L12-16) 10 12-16 1832

(Female) (D23695S12-16) 10 12-16 1832(D23695M12-16) 10 12-16 1832(D23695L12-16) 10 12-16 1832

Bard Bardex I.C. with silver alloy coating and a pre-filled syringe of sterile water pack of 1(Standard) (D236512S-D236522S) 10 12-22 992(Female) (D236912S-D236916S) 10 12-16 992

Bard Biocath Hydrogel Coated pack of 1(Male) (D2265) 10 12-26 850

(D2266) 30 12-26 861(Female) (D2269) 10 12-22 861

# Bard Biocath Aquamatic Hydrogel Coated pack of 1(Male) (D2264) 10 12-22 874(Female) (D2268) 10 12-22 878

VPre-filled with sterile water

Appliance BalloonSize (ml)

Gauge (Ch) Basic Price p

(See Note2

- page 322)

(See Note 1 - page 322)

334

11/2019 Part IXAAPPLIANCES

Appliance BalloonSize (ml)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - Adult

Note: Average period of use is 3 to 12 weeks

M Bard Biocath Comprehensive Care Foley Tray pack of 1

(Male) (D22655S12-16) 10 12-16 1740

(D22655M12-16) 10 12-16 1740

(D22655L12-16) 10 12-16 1740

(Female) (D22695S12-16) 10 12-16 1740

(D22695M12-16) 10 12-16 1740

(D22695L12-16) 10 12-16 1740

Bard Lubri-Sil Aquafil Hydrogel Coated Silicone with pre-filled syringe of sterile water pack of 1

(Male) (D175812-22E) 10 12-22 976

(Female) (D176112-16E) 10 12-16 976

M Bard Lubri-Sil Comprehensive Care Foley Tray pack of 1

(Male) (D17585S12-16) 10 12-16 1837

(D17585M12-16) 10 12-16 1837

(D17585L12-16) 10 12-16 1837

(Female) (D17615S12-16) 10 12-16 1837

(D17615M12-16) 10 12-16 1837

(D17615L12-16) 10 12-16 1837

Bard Lubri-Sil Hydrogel Coated Silicone pack of 1

(Male) (D176816-22E) 30 16-22 961

Bard Silicone Elastomer Coated Latex pack of 1

(Male) (D1657) 10 12-22 934

(D1667) 30 16-22 934

(Female) (D1647) 30 16-22 934

# Bard Silicone Elastomer Coated Latex pack of 1

(Male) (D1657AL) 10 12-22 1009

(Female) (D1637AL) 10 12-22 1009

Bard All Silicone pack of 1

(Male/Standard) (D1658) 10 12-22 964

(Male/Standard) (D1668) 30 16-22 964

(Female) (D1661) 10 12-16 924

Bard Silastic Silicone Coated pack of 1

(336) 10 12-24 891

(334) 30 16-28 948

V Pre-filled with sterile water

335

11/2019 Part IXAAPPLIANCES

Catheters

Catheters

Appliance BalloonSize (ml)

Gauge (Ch) Basic Price p

(See Note2

- page 322)

(See Note 1 - page 322)

(B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - AdultNote: Average period of use is 3 to 12 weeksCliniSupplies Ltd

Prosys All-Silicone Foley Catheter pack of 1(Male) (PCF12M10-PCF18M10) 10 12-18 579(Female) (PCF12F10-PCF18F10) 10 12-18 579

Coloplast LtdFolysil All Silicone Catheter pack of 1

(Male) (open ended) (AA74) 10 12-18 648(Male) (AA71) 10 12-22 648(Female) (AA75) 10 12-16 648

Folysil X-Tra with pre-filled syringe for balloon inflation and supplementary syringe for balloon deflation

pack of 1

(Male) (AA8A12-AA8A22) 10 12-22 648(Female) (AA8B12-AA8B18) 10 12-18 648

Folysil X-Tra silicone open ended catheter with pre-filled syringe for balloon inflation and empty syringe for balloon deflation

pack of 1

(Male) (AA8C12-AA8C18) 10 12-18 655

Covidien UK Commercial Ltd Dover All Silicone pack of 1

(Male) (8887705120-8887705203) 5-10 12-20 713(8887805128-8887805227) 10 12-22 594

(Female) (8887715129-8887715186) 5-10 12-18 713(8887815127-8887815184) 10 12-18 594

Ultramer pack of 1(Male) (1612-1M/1618-1M) 5 12-18 637(Female) (1712-1F/1716-1F) 5 12-16 637

Flexicare Medical LtdFlexiCath All Silicone Catheter pack of 1

(Male) (00-411205C - 00-412605C) 10 12-26 450(00-411630C - 00-412630C) 30 16-26 450

(Female) (00-421205C - 00-421605C) 10 12-16 450

FlexiCath All Silicone Catheter with pre-filled syringe for balloon inflation and supplementary syringe for balloon deflation

pack of 1

(Standard) (01-111205C - 01-112605C) 10 12-26 550(01-111630C - 01-112630C) 30 16-26 550

(Female) (01-121205C - 01-121605C) 10 12-16 550

Great Bear Healthcare LtdGB All Silicone Foley Catheter with pre-filled syringe of purified water for balloon inflation and supplementary syringe for balloon deflation

pack of 1

(Standard) (4833-0512 - 4833-0524) 10 12-24 605

336

11/2019 Part IXAAPPLIANCES

Catheters

Appliance BalloonSize (ml)

Gauge (Ch) Basic Price p

(See Note2

- page 322)

(See Note 1 - page 322)

(B)(ii)(a) Foley Catheter - 2 Way For Long Term Use - AdultNote: Average period of use is 3 to 12 weeksLINC Medical Systems Ltd (formerly L.IN.C. Medical Systems Ltd)

LINC All Silicone Catheter, glycerine filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly 2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexine for lubrication)

pack of 1

(Tiemann Tip) (1011UB12-1011UB18) 5 12-18 857

LINC All Silicone Catheter with integral balloon, glycerine filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(Standard) (08501205G) 5 12 557(08501405G) 5 14 557(08501410-OTG) 10 14 557(08501610G) 10 16 557(08501810G) 10 18 557

(Female) (085012051G) 5 12 557(085014051G) 5 14 557(08501410F-OTG) 10 14 557(085016101G) 10 16 557

(Male) (08501430) 20 14 557(08501630) 30 16 557

LINC All Silicone Catheter with integral balloon, water filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(Standard) (08501205W) 5 12 557(08501405W) 5 14 557(08501610W) 10 16 557(08501810W) 10 18 557

(Female) (085012051W) 5 12 557(085014051W) 5 14 557(085016101W) 10 16 557

Uniflo-Xtra All Silicone Foley Tip Catheter with UniBal integral balloon and extra drainage hole beneath balloon

pack of 1

(Standard) (1007UB12-1007UB18) 5 12-18 575(Female) (1007UBF12-1007UBF18) 5 12-18 575

P Medasil (Surgical) Ltd All Silicone pack of 1(Male) (84M) 10 12-26 462

(85M) 30 16-26 462(Female) (86F) 10 12-26 462

(87F) 30 16-26 462

Pto be deleted 1 January 2020

337

11/2019 Part IXAAPPLIANCES

Appliance Balloon Size(ml)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(B)(ii)(a)Foley Catheter - 2 Way For Long Term Use - AdultMediplus Ltd

2 Way Foley All Silicone Catheter with glycerine filled syringe for balloon inflation andempty syringe for balloon deflation

pack of 1

(Male) (5772-5778) 5-10 12-18 888(Male open tip) (5777, 5779, 5775) 5-10 14-18 883(Female) (5782-5786) 5-10 12-16 879

Teleflex Brillant Plus AquaFlate 2 way All Silicone foley catheter with 10% glycerine solution pre-filled syringe for balloon inflation

pack of 1

(Tiemann Tip) (850084-000120-000220) 10 12-22 846(Cylindrical tip) (850081-000120-000240) 10 12-24 600

Rüsch Brillant AquaFlate All-Silicone with sterile water filled syringe for balloon inflationand empty syringe for balloon deflation

pack of 1

(Male) (DA310112 - DA310124) 10 12-24 611(Female) (DA210112 - DA210124) 10 12-24 611

Rüsch Sympacath AquaFlate Hydrogel Coated Latex with sterile water filled syringe for balloon inflation and empty syringe for balloon deflation.

pack of 1

(Male) (DH310112 - DH310124) 10 12-24 634(Female) (DH210112 - DH210124) 10 12-24 634

Unomedical LtdCareline 100% Silicone Foley Catheter 2 way with pre-filled syringe pack of 1

(Male) (UM41151210PS-UM41152410PS) 10 12-24 500(Female) (UM41171210PS-UM41172410PS) 10 12-24 500(Tiemann) (UM41161210PS-UM41162410PS) 10 12-24 650

(B)(ii)(b) Foley Catheter - 2 Way For Long Term Use - PaediatricNote: Average period of use is 3 to 12 weeksBard Ltd

Bard Biocath Hydrogel Coated pack of 1(D2263) 5 8-10 861

Bard Lubri-Sil Hydrogel Coated Silicone pack of 1(D1758) 5 8-10 961

Coloplast LtdFolysil All Silicone Catheter pack of 1

(AA7106, AA7108, AA7110) 1.5-3 6-10 706

Covidien UK Commercial Ltd Dover All Silicone pack of 1

(8887703083-8887703109) 3-5 8-10 713(8887803081-8887803107) 5 8-10 641

Flexicare Medical LtdFlexiCath All Silicone Catheter pack of 1

(00-410603C - 00-411003C) 3-5 6-10 450

FlexiCath All Silicone Catheter with pre-filled syringe for balloon inflation and supplementary syringe for balloon deflation

pack of 1

(01-110603C - 01-111003C) 3-5 6-10 550

338

11/2019 Part IXAAPPLIANCES

Catheters

Appliance Balloon Size(mL)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(B)(ii)(b) Foley Catheter - 2 Way Long Term Use - PaediatricLINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd)

LINC All Silicone Catheter with integral balloon, glycerine filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Catheter with integral balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(08500601G) 1.5 6 799(08500803G) 3 8 799(08501003G) 3 10 799

LINC All Silicone Catheter with integral balloon, water filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Catheter with integral balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(08500601W) 1.5 6 799(08500803W) 3 8 799(08501003W) 3 10 799

All Silicone Catheter with integral balloon and stylet with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication

pack of 1

(08500601SG) 1.5 6 799(08500803SG) 3 8 799(08501003SG) 3 10 799

All Silicone Catheter with integral balloon and stylet with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication

pack of 1

(08500601SW) 1.5 6 799(08500803SW) 3 8 799(08501003SW) 3 10 799

Uniflo-Xtra All Silicone Foley Tip Catheter with UniBal integral balloon and extra drainage hole beneath balloon, with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication

pack of 1

(1007UBS08 - 1007UBS10) 3 8-10 795

PMedasil (Surgical) Ltd pack of 1All Silicone (83P) 5 8-10 462

Pto be deleted 1 January 2020

339

11/2019 Part IXAAPPLIANCES

Appliance Balloon Size(mL)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(C) Intermittent Catheter with finger grip and lidHunter Urology Ltd pack of 30MEmteva 46F12-30-UK 12 4163

(D) Intermittent Catheter with introducer tip and urine bagHollister LtdMHollister Advance Plus pack of 25

(Nélaton) (94064-94184) 6-18 7156(Tiemann Tip) (95124-95164) 12-16 7156

M Hollister Infyna Plus Hydrophilic Intermittent catheter pack of 30(Female) (86081-86141) 8-14 6815

MHollister InstantCath Protect pack of 25(Nélaton) (9691) 8 7169

(9694) 14 7169(9696) 18 7169

(Tiemann Tip) (9697-9699) 12-16 7165

Pioneer Medical Europe LtdMmtg EZ-Advancer pack of 25

(Male Soft) (30212-30214) 12-14 7083(Male Firm) (30112-30116) 12-16 7083

Mmtg EZ-Advancer Mini-Pak pack of 25(Male) (40112-40116) 12-16 7083

Mmtg Cath-Lean pack of 25(Female) (40412-40414) 12-14 7083

Mmtg Kiddie-Kath Paediatric pack of 25(Paediatric) (30108) 8 7083

Mmtg EZ-Advancer Adolescent pack of 25(Paediatric) (30110) 10 7083

340

11/2019 Part IXAAPPLIANCES

Catheters

Appliance Balloon Size(mL)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(E) Intermittent Catheter with lubricant, insertion aid and urine bagB.Braun Medical LtdMActreen Hi-Lite Set pack of 30

(Nelaton) (242210E-242218E) 10-18 7501(Tiemann Tip) (242110E-242118E) 10-18 7501

MActreen Mini Set pack of 30(Female) (239010E-239014E) 10-14 7058

Manfred Sauer UK LtdMiQ Cath Set pack of 30

(Male Soft Tip) (IQ3604.10-IQ3604.18) 10-18 7653

Pioneer Medical Europe Ltd pack of 50Mmtg EZ-Gripper Intermittent closed system catheter

(50112-50116) 12-16 15280

Teleflex MLiquick Plus pack of 30

(Female) (620210) 10 6770(Male) (620012-620016) 12-16 6770

MRusch Flocath Intro Gel pack of 30(Female) (851621) 8-16 6848(Paediatric) (851631) 8-10 6848(Male) (851641) 8-18 6848(Male Tiemann Tip) (851643) 10-18 6848

(F) Compact Intermittent Catheter with lubricant and urine bagColoplast LtdMSpeediCath Compact Set pack of 20

(Female) (28520) 10 5354(28522) 12 5354(28524) 14 5354

(Male) (28422) 12/18 5354

(G) Intermittent Catheter with integrated hydrating vapour strip, introducer tip, non return valve and urine bag

Hollister LtdMHollister VaPro Plus pack of 30

(Male 40cm) (74124-74144) 12-14 9371(Female 20cm) (74122-74142) 12-14 9371

MHollister VaPro Plus F-Style pack of 30(Male 40cm) (7700124-7700144) 12-14 9296

MHollister VaPro Plus Pocket pack of 30(Male 40cm) (71084-71164) 8-16 9251(Female 20cm) (71082- 71142) 8-14 9251

(H) Silver Female Reusable CatheterFor Long Term Use, Reusable For Intermittent Self CatheterisationS G & P PayneMIncontiaid Silver Female Catheter pack of 1

(1315-1318) 8-14 4295

341

11/2019 Part IXAAPPLIANCES

Appliance Balloon Size(mL)

Gauge (Ch) Basic Price p

(See Note 2- page 322)

(See Note 1 - page 322)

(I) Stainless Steel CatheterFor Long Term Use, Reusable For Intermittent Self CatheterisationMalvern Medical Developments LtdM Biscath System Comprises of 6 stainless steel catheters

with case, brushes, scraper and hard and soft carrying case.pack of 6

(Female) (BISC001) 8 24875(BISC002) 10 24875(BISC003) 12 24875(BISC004) 14 24875

(J) Urinary Suprapubic CathetersLINC Medical Systems Ltd (formerly L.IN.C. Medical Systems Ltd)LINC All Silicone Open Tipped Suprapubic Catheter with integral balloon, glycerine filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Open Tipped Catheter with UniBal type balloon with glycerine filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(Paediatric) (08470803G-08471003G) 3 8-10 1095(Standard) (08451205G-08451405G) 5 12-14 1095

(08451610G-08452410G) 10 16-24 1095(Female) (08471205G-08471405G) 5 12-14 1095

(08471610G-08472010G) 10 16-20 1095

LINC All Silicone Open Tipped Suprapubic Catheter with integral balloon, water filled syringe and a syringe of lidocaine/chlorhexidine lubricant gel (formerly All Silicone Open Tipped Catheter with UniBal type balloon with sterile water filled syringe for balloon inflation, empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication)

pack of 1

(Paediatric) (08470803W-08471003W) 3 8-10 1095(Standard) (08451205W-08451405W) 5 12-14 1095

(08451610W-08452410W) 10 16-24 1095(Female) (08471205W-08471405W) 5 12-14 1095

(08471610W-08472010W) 10 16-20 1095

All Silicone foley catheter with guidewire hole and sterile water filled syringe pack of 1(Standard) (084612051W-084614051W) 5 12-14 1100

(084616101W-084620101W) 10 16-20 1100

All Silicone foley catheter with guidewire hole and glycerine filled syringe pack of 1(Standard) (084612051G-084614051G) 5 12-14 1100

(084616101G-084620101G) 10 16-20 1100

OptiTip All Silicone Open Tip Catheter with UniBal integral balloon and extra drainage holebeneath the balloon, with 5% glycerine in sterile water filled syringe for balloon inflation,empty syringe for balloon deflation and a syringe of lidocaine & chlorhexidine for lubrication

pack of 1

(Paediatric) (1007UBS08OT-1007UBS10OT) 3 8-10 1095(Standard) (1007UB12OT-1007UB14OT) 5 12-14 1095

(1007UB16OT-1007UB18OT) 5-10 16-18 1095(Female) (1007UBF12OT-1007UBF14OT) 5 12-14 1095

(1007UBF16OT-1007UBF18OT) 5-10 16-18 1095

342

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

CELLULOSE WADDING BP 1988 eachCellosene 500g 220

CERVICAL COLLAR, SOFT FOAMClini Cervical Collar

Small (44cm) OA8009 243Medium (48cm) OA8016 243Large (53cm) OA8023 243

Eesiness Soft Cervical Foam CollarSmall 23562000 262Medium 23562100 262Large 23562200 262

CHIROPODY APPLIANCESAdhesive Felt 10.5cm x 8.3cm x 5mm thick 107Zinc oxide or acrylic adhesive, spreadon semi-compressed surgical wool felt

10cm x 22.5cm x 5mm thick 217

Animal Wool BP 1988 25g 103(Syn: Animal Wool for Chiropody) (Long Strand Lamb's Wool for Chiropody)

boxBunion Rings 105Self-adhesive, semi-compressed felt (in box of 4 pieces)

Corn Rings 5 mm thick 105Self-adhesive, semi-compressed felt ina box of 9 pieces

CONTRACEPTIVE DEVICES eachIntrauterine Contraceptive Device

Ancora 375 Cu 795Copper T380 A 895Flexi-T 300 947Flexi-T+380 1006GyneFix intrauterine contraceptive implant 2711IUB Ballerine MIDI 2500Load 375 852Mini TT380 Slimline 1246Multiload CU 375 924Multi-Safe 375 896Neo-Safe T380 1340Nova-T 380 1520Novaplus T 380 Ag (Normal, Mini) 1250Novaplus T 380 Cu (Normal, Mini) 1095Optima TCu380A 965Steriload 965T-Safe 380A QL 1055TT380 Slimline 1246UT380 Short 1122UT380 Standard 1122

The type of device and the size (where more than one is listed above) must be specified by the prescriber.

343

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

CONTRACEPTIVE DEVICES eachVaginal Contraceptive Caps (Pessaries)

The size of the pessary and the type must be specified by the prescriber.SiliconeCE Marked

FemCap 22, 26, 30mm 1529Soft Silicone Cap

CYCLOIDAL VIBRATION ACCESSORIES pack of 3Vibro-Pulse 1500

DETECTION SENSOR, INTERSTITIAL FLUID FOR GLUCOSE eachFreeStyle Libre Sensor 1 3500

(contains 1 sensor, 1 sensor applicator and 1 wipe)

DEVICES FOR ADJUNCTIVE TREATMENT OF HYPERTENSION eachRESPeRATE 13200

DEVICES FOR FUNGAL NAIL INFECTIONS eachCanespro Fungal Nail Treatment Set 1874Emtrix 15ml 1000

DOUCHESVaginal fittings eachDouche can and fittings white polypropylene, complete with two piece fittings, tube and instructions, singly packed - no rectal fittings)

1 litre 517

344

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

DRESSINGS eachNote for all dressings: The exact number of pieces, ordered by the prescriber is to be dispensed.Absorbent Cellulose Dressing with Fluid Repellent BackingIndications: Primary or secondary dressing for medium to heavily exuding wounds.365 Super Absorbent 10cm x 10cm 45

10cm x 20cm 8820cm x 20cm 13020cm x 30cm 230

CelluDress 10cm x 10cm 1910cm x 15cm 2010cm x 20cm 2215cm x 20cm 3020cm x 25cm 4020cm x 30cm 85

Eclypse 10cm x 10cm 7410cm x 20cm 9715cm x 15cm 9920cm x 20cm 15020cm x 30cm 21860cm x 40cm 831

Eclypse Adherent 10cm x 10cm 30510cm x 20cm 38215cm x 15cm 50920cm x 30cm 1019

Eclypse Adherent Sacral 17cm x 19cm 38322cm x 23cm 635

Eclypse Boot 55cm x 47cm 101060cm x 70cm 140571cm x 80cm 2150

Eclypse Border 15cm x 15cm 50520cm x 30cm 796

Eclypse Border Oval 10cm x 20cm 44415cm x 20cm 58620cm x 30cm 796

Eclypse Contour 30cm x 51cm 835

Eclypse Foot 33cm x 48cm 806

Exu-Dry 10cm x 15cm 11715cm x 23cm 23923cm x 38cm 555

345

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachkliniderm superabsorbent see Protease Modulating Matrix - Sterile

Mesorb 10cm x 10cm 6310cm x 15cm 8310cm x 20cm 10215cm x 20cm 14520cm x 25cm 22920cm x 30cm 260

Spirit Non-Woven Absorbent Pad 10cm x 10cm 5010cm x 20cm 7015cm x 20cm 3220cm x 25cm 10020cm x 40cm 160

Spirit Super Absorbent 10cm x 10cm 6510cm x 20cm 9215cm x 20cm 11020cm x 30cm 155

Zetuvit 10cm x 10cm 2210cm x 20cm 2520cm x 20cm 4020cm x 40cm 113

Zetuvit E (Non-Sterile) 10cm x 10cm 710cm x 20cm 920cm x 20cm 1520cm x 40cm 28

Absorbent Dressing Pads, SterileDrisorb Dressing Pad 10cm x 20cm 17

PremierPad 10cm x 20cm 1820cm x 20cm 25

Xupad Dressing Pad 10cm x 12cm 1510cm x 20cm 1720cm x 20cm 2820cm x 40cm 40

346

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachAbsorbent, Perforated Dressing with Adhesive Border365 Non Woven Island5cm x 7.2cm (wound contact pad 2.3cm x 3.9cm + border 1.35-1.65cm) 36cm x 8cm (wound contact pad 3cm x 4cm + border 1.5-2cm) 48cm x 10cm (wound contact pad 4cm x 5cm + border 2-2.5cm) 68cm x 15cm (wound contact pad 4cm x 10.1cm + border 2-2.45cm) 710cm x 10cm (wound contact pad 5cm x 5cm + border 2.5cm) 610cm x 15cm (wound contact pad 5cm x 10.5cm + border 2.5-2.25cm) 910cm x 20cm (wound contact pad 5.2cm x 15.5cm + border 2.4-2.25cm) 1210cm x 25cm (wound contact pad 5.5cm x 20cm + border 2.5cm) 14

Adpore7cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm) 810cm x 10cm (wound contact pad 4.5cm x 5cm + border 2.5cm - 2.75cm) 1010cm x 15cm (wound contact pad 5cm x 10cm + border 2.5cm) 1610cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3010cm x 25cm (wound contact pad 5cm x 20cm + border 2.5cm) 3410cm x 30cm (wound contact pad 5cm x 25cm + border 2.5cm) 4210cm x 35cm (wound contact pad 5cm x 30cm + border 2.5cm) 50

Advapore5cm x 7.2cm (wound contact pad 2.5cm x 3cm + border 1.25-2.1cm) 46cm x 7cm (wound contact pad 3cm x 3cm + border 1.5-2cm) 58cm x 10cm (wound contact pad 4cm x 5cm + border 2-2.5cm) 108cm x 15cm (wound contact pad 4cm x 10cm + border 2-2.5cm) 149cm x 15cm (wound contact pad 4cm x 10cm + border 2.5cm) 159cm x 20cm (wound contact pad 4cm x 15cm + border 2.5cm) 2010cm x 10cm (wound contact pad 5cm x 5cm + border 2.5cm) 910cm x 15cm (wound contact pad 5cm x 10cm + border 2.5cm) 1510cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 2010cm x 25cm (wound contact pad 5cm x 20cm + border 2.5cm) 25

Cosmopor5cm x 7.2cm (wound contact pad 2.5cm x 4cm + border 1.25 - 1.6cm) 108cm x 10cm (wound contact pad 3.8cm x 6.5cm + border 1.75 - 2.1cm) 208cm x 15cm (wound contact pad 3.8cm x 11cm + border 2.0 - 2.1cm) 3310cm x 20cm (wound contact pad 5.5cm x 16cm + border 2.0cm - 2.25cm) 4110cm x 25cm (wound contact pad 5.5cm x 20.5cm + border 2.25cm) 5610cm x 35cm (wound contact pad 5.5cm x 30.5cm + border 2.25cm) 71

Cosmopor E5cm x 7.2cm (wound contact pad 2.5cm x 4cm + border 1.25 - 1.6cm) 88cm x 10cm (wound contact pad 3.8cm x 6.5cm + border 1.75 - 2.1cm) 188cm x 15cm (wound contact pad 3.8cm x 11cm + border 2.0 - 2.1cm) 2910cm x 20cm (wound contact pad 5.5cm x 16cm + border 2.0cm - 2.25cm) 4710cm x 25cm (wound contact pad 5.5cm x 20.5cm + border 2.25cm) 5810cm x 35cm (wound contact pad 5.5cm x 30.5cm + border 2.25cm) 80

347

11/2019 Part IXAAPPLIANCES

DRESSINGS eachCutiplast Steril5cm x 7.2cm (wound contact pad 4cm x 2.7cm + border 0.9 - 1.15cm) 6K8cm x 10cm (wound contact pad 6cm x 4cm + border 2cm) 118cm x 15cm (wound contact pad 11cm x 4cm + border 2cm) 2510cm x 20cm (wound contact pad 16cm x 5cm + border 2.0 - 2.5cm) 3210cm x 25cm (wound contact pad 20cm x 5cm + border 2.5cm) 3310cm x 30cm (wound contact pad 25cm x 5cm + border 2.5cm) 44

Leukomed7.2cm x 5cm (wound contact pad 2.8cm x 3.8cm + border 1.1-1.7cm) 98cm x 10cm (wound contact pad 4.5cm x 6.1cm + border 1.75-1.95cm) 198cm x 15cm (wound contact pad 4cm x 11.6cm + border 1.7-2cm) 3310cm x 20cm (wound contact pad 5.2cm x 16.1cm + border 1.95-2.4cm) 4410cm x 25cm (wound contact pad 5cm x 20cm + border 2.5cm) 5010cm x 30cm (wound contact pad 5.4cm x 25cm + border 2.3-2.5cm) 6410cm x 35cm (wound contact pad 5cm x 30cm + border 2.5cm) 74

Medipore + Pads5cm x 7.2cm (wound contact pad 2.8cm x 3.8cm + border 1 - 2 cm) 810cm x 10cm (wound contact pad 5cm x 5.5cm + border 2 - 2.5cm) 1610cm x 15cm (wound contact pad 5cm x 10.5cm + border 2 - 2.5cm) 2510cm x 20cm (wound contact pad 5cm x 15.5cm + border 2 - 2.5cm) 3810cm x 25cm (wound contact pad 5cm x 20.5cm + border 2 - 2.5cm) 4710cm x 35cm (wound contact pad 5cm x 30.4cm + border 2 - 2.5cm) 65

Medisafe6cm x 8cm (wound contact pad 3cm x 5cm + border 1.5cm) 8 8cm x 10cm (wound contact pad 4cm x 6cm + border 2cm) 138cm x 12cm (wound contact pad 4cm x 8cm + border 2cm) 239cm x 15cm (wound contact pad 4cm x 10cm + border 2.5cm) 299cm x 20cm (wound contact pad 4cm x 14cm + border 2.5 - 3cm) 349cm x 25cm (wound contact pad 4cm x 19cm + border 2.5 - 3cm) 36

Medline Bordered Gauze5cm x 7cm (wound contact pad 3cm x 4cm + border 1-1.5cm) 76.5cm x 8cm (wound contact pad 5cm x3.5cm + border 0.75-2.25cm) 1110cm x 10cm (wound contact pad 6.5cm x 6.5cm + border 1.75cm) 1510cm x 15cm (wound contact pad 5cm x 10cm + border 2.5cm) 2310cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3510cm x 25cm (wound contact pad 5cm x 20.5cm + border 2.5-2.25cm) 4510cm x 35cm (wound contact pad 5cm x 30.5cm + border 2.5-2.25cm) 57

Mepore7cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm) 119cm x 20cm (wound contact pad 5cm x 15cm + border 2.0 - 2.5cm) 459cm x 25cm (wound contact pad 5cm x 20cm + border 2.0 - 2.5cm) 629cm x 30cm (wound contact pad 5cm x 25cm + border 2.0 - 2.5cm) 709cm x 35cm (wound contact pad 5cm x 30cm + border 2.0 - 2.5cm) 7710cm x 11cm (wound contact pad 6cm x 6cm + border 2cm - 2.5cm) 2211cm x 15cm (wound contact pad 6cm x 10cm + border 2.5cm) 36

Appliance Size or Weight Basic Price p

348

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachNupore6cm x 7cm (wound contact pad 3cm x 4cm + border 1.5cm) 67cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm) 810cm x 11cm (wound contact pad 5cm x 5cm + border 2.5-3cm) 14

PremierPore5cm x 7cm (wound contact pad 3cm x 4cm + border 1cm-1.5cm) 510cm x 10cm (wound contact pad 6cm x 5cm + border 2cm-2.5cm) 1210cm x 15cm (wound contact pad 5cm x 10cm + border 2.5cm) 1810cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3210cm x 25cm (wound contact pad 5cm x 20cm + border 2.5cm) 3610cm x 30cm (wound contact pad 5cm x 25cm + border 2.5cm) 4510cm x 35cm (wound contact pad 5cm x 30cm + border 2.5cm) 52

Primapore6cm x 8.3cm (wound contact pad 3.4cm x 5.7cm + border 1.3cm) 198cm x 10cm (wound contact pad 4.5cm x 5cm + border 1.75 - 2.5cm) 208cm x 15cm (wound contact pad 4.5cm x 10cm + border 1.75 - 2.5cm) 3410cm x 20cm (wound contact pad 5cm x 14cm + border 2.5 - 3cm) 4510cm x 25cm (wound contact pad 5cm x 18cm + border 2.5 - 3.5cm) 5210cm x 30cm (wound contact pad 5cm x 23cm + border 2.5 - 3.5cm) 6510cm x 35cm (wound contact pad 5.1cm x 28cm + border 2.45-3.5cm) 100

Softpore6cm x 7cm (wound contact pad 3cm x 4cm + border 1.5cm) 610cm x 10cm (wound contact pad 5cm x 6cm + border 2-2.5cm) 1310cm x 15cm (wound contact pad 5cm x 10cm + border 2.5cm) 2010cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3510cm x 25cm (wound contact pad 5cm x 20cm + border 2.5cm) 4010cm x 30cm (wound contact pad 5cm x 25cm + border 2.5cm) 4910cm x 35cm (wound contact pad 5cm x 30cm + border 2.5cm) 58

Telfa AMD Island10cm x 12.5cm (wound contact pad 5cm x 8cm + border 2.5-2.25cm) 5910cm x 20cm (wound contact pad 5cm x 15.5cm + border 2.5-2.25cm) 8610cm x 25.5cm (wound contact pad 5cm x 20.5cm + border 2.5cm) 9810cm x 35cm (wound contact pad 5cm x 30.5cm + border 2.25-2.5 cm) 122

Telfa Island (Non adherent dressing pad)5cm x 10cm (wound contact pad 3.3cm x 4.8cm + border 0.85-2.6cm) 810cm x 12.5cm (wound contact pad 5cm x 8.5cm + border 2.0-2.5cm) 2710cm x 20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3510cm x 25.5cm (wound contact pad 5cm x 20cm + border 2.5-2.75cm) 4510cm x 35cm (wound contact pad 5cm x 30cm + border 2.5cm) 62

349

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS each

Absorbent, Perforated Plastic Film Faced, DressingWhere not specified by the prescriber, the 5cm size is to be supplied.Where the brand is not specified by the prescriber, for the sizes listed below, the Basic Price must not exceed:

5cm x 5cm 310cm x 10cm 920cm x 10cm 17

365 Non Adherent 5cm x 5cm 310cm x 10cm 910cm x 20cm 1720cm x 30cm 38

Absopad 5cm x 5cm 710cm x 10cm 1320cm x 10cm 28

Askina Pad 10cm x 10cm 21

Melolin 5cm x 5cm 1810cm x 10cm 2920cm x 10cm 56

Skintact 5cm x 5cm 1010cm x 10cm 1720cm x 10cm 34

Solvaline N 5cm x 5cm 1010cm x 10cm 1810cm x 20cm 37

Telfa (Non adherent dressing pad) 7.5cm x 5cm 1210cm x 7.5cm 1615cm x 7.5cm 1820cm x 7.5cm 29

Telfa AMD 7.5cm x 10cm 187.5cm x 20cm 28

Gauze Dressings (Impregnated)Actilite 5cm x 5cm 71(Impregnated with manuka honey) 10cm x 10cm 123Where not specified by the prescriber, the 5cm size to be supplied 10cm x 20cm 238

20cm x 30cm 67030cm x 30cm 110830cm x 60cm 1915

Activon Tulle 5cm x 5cm 225(Impregnated with manuka honey) 10cm x 10cm 371Where not specified by the prescriber, the 5cm size to be supplied

Chlorhexidine Gauze Dressing BP 5cm x 5cm 30(Syn: Chlorhexidine Tulle Gras) 10cm x 10cm 64Where not specified by the prescriber, the 5cm size to be supplied

Cutimed Sorbact Dressing Pad 7cm x 9cm 361(Impregnated with dialkylcarbamoyl chloride) 10cm x 10cm 565

10cm x 20cm 881

Cutimed Sorbact Swab 4cm x 6cm 169(Impregnated with dialkylcarbamoyl chloride) 7cm x 9cm 282

ManukaDress-IG 5cm x 5cm 170(Impregnated with manuka honey) 10cm x 10cm 280Where not specified by the prescriber, the 5cm size to be supplied

350

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS each

ManukaDress-IG MAX 5cm x 5cm 185(Impregnated with manuka honey) 10cm x 10cm 325Where not specified by the prescriber, the 5cm size to be supplied

Medihoney Tulle Dressing 5cm x 5cm 171(Impregnated with Medihoney medical honey) 10cm x 10cm 300Where not specified by the prescriber, the 5cm size to be supplied

Melladerm Plus Tulle 10cm x 10cm 210(Impregnated with melladerm plus honey gel)

Paraffin Gauze Dressing BP Sterile (Syn: Tulle Gras)Normal Loading - 175-220g/m2

Cuticell Classic 10cm x 10cm 30Jelonet 10cm x 10cm 42Neotulle 10cm x 10cm 29

Revamil 5cm x 5cm 175(Impregnated with Revamil honey) 8cm x 8cm 333Where not specified by the prescriber, the 5cm size to be supplied 10cm x 10cm 290

10cm x 20cm 530

Knitted Polyester Primary Dressing Impregnated with Neutral TriglyceridesAtrauman 5cm x 5cm 35

7.5cm x 10cm 3610cm x 20cm 8120cm x 30cm 223

Knitted Viscose Primary Dressing BP Type 1(Sterile Knitted Viscose Dressing)N-A Dressing 9.5cm x 9.5cm 35

19cm x 9.5cm 67

N-A Ultra 9.5cm x 9.5cm 3419cm x 9.5cm 64

Tricotex 9.5cm x 9.5cm 35

Multiple Pack Dressing No. 1 447Carton containing:Absorbent Cotton BP 1988 (interleaved) 25gAbsorbent Cotton Gauze. Type 13 Light BP, sterile 90 cm x 1 mOpen-Wove Bandages BP 1988 (banded) 3 x 5 cm x 5 m

Perforated Film Absorbent Dressing BP - See Absorbent, Perforated Plastic Film Faced, Dressing(P.F.A. Dressing).

Povidone–Iodine Fabric Dressing, SterileSpecification 43Where not specified by the prescriber, the 5cm size is to be supplied.Inadine 5cm x 5cm 33

9.5cm x 9.5cm 49Povitulle 5cm x 5cm 28

9.5cm x 9.5cm 42

STERILE DRESSING PACKS The exact number of pieces ordered by the prescriber is to be dispensed.Drug Tariff Specification Sterile Dressing PacksSterile Dressing Pack Specification 10 56Sterile Pack containing:

Gauze and Cotton Tissue Pad 8.5cm x 20cmGauze Swabs 12 ply 4 x 10 x 10cmAbsorbent Cotton Balls, large 4 x 0.9g approxAbsorbent Paper Towel 45cm x 50cmWater Repellent Inner Wrapper opens out as a sterileworking field

50cm x 50cm

351

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS each

Sterile Dressing Pack with Non-Woven Pads Specification 35 55Sterile Pack containing:

Non-woven Fabric Covered Dressing Pad 10cm x 20cmNon-woven Fabric Swabs 4 x 10cm x 10cm4 Absorbent Cotton Wool BallsAbsorbent Paper Towel 50cm x 45cmWater Repellent Inner Wrapper opens out as a sterile working field

50cm x 50cm

Non Drug Tariff Specification CE marked Sterile Dressing Packs365 Community Woundcare Pack 46Sterile Pack containing:

1 Tray 16.5cm x 10.5cm1 Pair Nitrile Gloves small, medium or large1 White Waste Disposal Bag 45cm x 35cm1 Hand Dressing Towel 43cm x 38cm1 White Plastic Apron 80cm x 130cm5 Non-Woven Swabs 4 ply 10cm x 10cm1 Measuring Tape1 Folded Drape 50cm x 50cm1 Tissue Backed Sterile Field 45cm x 45cm

Dressit 60Sterile Pack containing:

1 Pair Vitrex Gloves small/medium, medium/large

1 Large Apron1 Disposable Bag 26cm x 46cm1 Paper Towel 45cm x 50cm4 Softswabs 4 ply 10cm x 10cm1 Absorbent Pad 10cm x 12cm1 Sterile field 50cm x 50cm

MeCoBo 46Sterile Pack containing:

5 Non-Woven swabs 4 ply 7.5cm x 7.5cm1 Folded Laminate Drape 500mm x 500mm1pc Absorbent Towel 500mm x 500mm1pc Gallipot 60ml1pc Kidney Tray 210mm x 110mm x 25mm1pc Wrapping Drape 500mm x 500mm1pc Packed Pouch 133mm x 280mm

Multi-Pack 46Sterile Pack containing:

1 Sterile Field1 Tray1 Pair Nitrile Gloves small, medium or large1 Blue Drape1 White Bag1 White Large Apron5 Non Woven Swabs 4 Ply 10cm x 10cm

Nurse It 55Sterile Pack containing:

1 Pair Latex Free Powder Free Nitrile Gloves small/medium, medium/large

7 Non-Woven Swabs 4 ply 10cm x 10cm1 Compartment Tray 12cm x 11cm1 Disposable Forceps 11cm2 Laminated Paper Sterile Fields 40cm x 40cm1 Large Apron 80cm x 130cm1 Paper Towel 35cm x 40cm1 White Polythene Disposable Bag 46cm x 26cm1 Paper Measuring Tape

352

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

DRESSINGS eachPolyfield Nitrile Patient Pack 52Sterile Pack containing:

1 Pair Powder Free Nitrile AF gloves small, medium or large1 Sterile Laminate Sheet 50cm x 45cm7 Non Woven Swabs 10cm x 10cm1 Towel 43cm x 38cm1 White Polythene Disposable Bag1 Apron

Vapour-permeable Adhesive Film Dressing(Syn: Semipermeable Adhesive Dressing)365 Film 4cm x 5cm 4

6cm x 7cm 710cm x 12cm 1615cm x 20cm 38

365 IV Reinforced IV Transparent Dressing Frame Application 5cm x 5.7cm 237cm x 8.5cm 18

365 IV Transparent IV Dressing 7cm x 9cm 2410cm x 12cm 59

AquaBloc 5cm x 7cm 2010cm x 12cm 5510cm x 25cm 70

Askina Derm 6cm x 7cm 3810cm x 12cm 11110cm x 20cm 21215cm x 20cm 25720cm x 30cm 459

Bioclusive Plus 6cm x 7cm 3610cm x 12cm 10015cm x 20cm 14520cm x 30cm 237

Central Gard (Intravenous/Sub-Cutaneous Therapy)16cm x 7cm central line 98

16cm x 8.8cm central line 107

ClearFilm 6cm x 7cm 2510cm x 12cm 5512cm x 12cm 6215cm x 20cm 11520cm x 30cm 195

ClearFilm I.V. 6cm x 7cm 287cm x 9cm 36

10cm x 12cm 9810cm x 15cm 140

C-View 6cm x 7cm 3810cm x 12cm 10312cm x 12cm 11015cm x 20cm 238

Dressfilm 15cm x 20cm 190

EasI-V securement device for IV peripheral lines 7cm x 7.5cm 38

Appliance Size or Weight Basic Price p

353

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS each

Hydrofilm 6cm x 7cm 2310cm x 12.5cm 43

10cm x 15cm 5410cm x 25cm 8412cm x 25cm 8915cm x 20cm 10020cm x 30cm 165

Hydrofilm IV Control 7cm x 9cm 32

Hypafix Transparent 10cm x 2m 903

IV3000 (Intravenous/Sub-Cutaneous Therapy) Ported 5cm x 6cm 446cm x 7cm 58

Ported 7cm x 9cm 76Ported 9cm x 12cm 151K

10cm x 12cm 145Ported 11cm x 14cm 166

Kendall Film 4cm x 4cm 365cm x 7cm 40

10cm x 12cm 10310cm x 20cm 20415cm x 20cm 23520cm x 25cm 411

Leukomed T 7.2cm x 5cm 398cm x 10cm 72

10cm x 12.5cm 10511cm x 14cm 12715cm x 20cm 24415cm x 25cm 260

Mepitel Film 6.5cm x 7cm 4910.5cm x 12cm 13410.5cm x 25cm 25915.5cm x 20cm 329

Mepore Film 6cm x 7cm 4710cm x 12cm 12510cm x 25cm 24415cm x 20cm 309

Mepore IV 5cm x 5.5cm 318cm x 9cm 41

10cm x 11cm 110

Niko-Fix securement device for ported IV cannula 7cm x 8.5cm 20

OpSite Flexifix (non sterile) 5cm x 1m 40610cm x 1m 685

OpSite Flexigrid 6cm x 7cm 4112cm x 12cm 11715cm x 20cm 296

Pharmapore-PU.-I.V6cm x 7cm ported cannula 8

7cm x 9cm one hand application 178.5cm x 7cm for cannula 7

354

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachProtectFilm 6cm x 7cm 11

10cm x 12cm 2015cm x 20cm 40

Securfix Plus 10cm x 10cm 1410cm x 25cm 38

Suprasorb F 5cm x 7cm 3410cm x 12cm 8315cm x 20cm 258

Tegaderm Diamond 6cm x 7cm 4510cm x 12cm 123

Tegaderm Film 6cm x 7cm 3912cm x 12cm 11315cm x 20cm 244

Tegaderm IV Advanced7cm x 8.5cm peripheral line 60

8.5cm x 11.5cm 11610cm x 15.5cm PICC line 168

Vellafilm 12cm x 12cm 11212cm x 35cm 28015cm x 20cm 214

Vapour-permeable Adhesive Film Dressing - with absorbent pad(Syn: Semipermeable Adhesive Dressing)365 Transparent Island

5cm x 7.2cm (wound contact pad 2.5cm x 3.6cm + border 1.25cm - 1.8cm) 58.5cm x 9.5cm (wound contact pad 3.8cm x 6.8cm + border 2.35cm - 1.35cm) 11

8.5cm x 15.5cm (wound contact pad 3.8cm x 11.6cm + border 2.35cm - 1.9cm) 1510cm x 25cm (wound contact pad 5.5cm x 20cm + border 2.25cm - 2.5cm) 26

12cm x 10cm (wound contact pad 7.5cm x 5cm + border 2.5cm) 1420cm x 10cm (wound contact pad 15cm x 5.3cm + border 2.5cm - 2.35cm) 2130cm x 10cm (wound contact pad 25cm x 5.5cm + border 2.5cm - 2.25cm) 27

Adpore Ultra7cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm) 12

10cm x10cm (wound contact pad 4.5cm x 5cm + border 2.5cm - 2.75cm) 1410cm x15cm (wound contact pad 5cm x 10cm + border 2.5cm) 2210cm x20cm (wound contact pad 5cm x 15cm + border 2.5cm) 3310cm x25cm (wound contact pad 5cm x 20cm + border 2.5cm) 3510cm x30cm (wound contact pad 5cm x 25cm + border 2.5cm) 52

355

11/2019 Part IXAAPPLIANCES

DRESSINGS eachAlldress 10cm x 10cm 98

15cm x 15cm 21415cm x 20cm 264

C-View Post-Op 6cm x 7cm 408.5cm x 9.5cm 548.5cm x 15cm 6810cm x 12cm 11110cm x 20cm 10310cm x 25cm 16110cm x 35cm 262

Clearpore 6cm x 7cm (wound contact pad 3cm x 4cm + border 1.5cm) 126cm x 10cm (wound contact pad 3cm x 7cm + border 1.5cm) 1510cm x 10cm (wound contact pad 6cm x 6cm + border 2cm) 20

15cm x 10cm (wound contact pad 11cm x 6cm + border 2cm) 2420cm x 10cm (wound contact pad 16cm x 6cm + border 2cm) 3625cm x 10cm (wound contact pad 21cm x 6cm + border 2cm) 40

10cm x 30cm (wound contact pad 5cm x 25cm + border 2.5cm) 65

Hydrofilm Plus 5cm x 7.2cm 189cm x 10cm 289cm x 15cm 31

10cm x 20cm 4710cm x 25cm 6210cm x 30cm 71

Leukomed T plus7.2cm x 5cm (wound contact pad 2.8cm x 3.7cm + border 1.6cm x 1.1cm) 28

8cm x 10cm (wound contact pad 4.2cm x 6.1cm + border 1.7cm x 2cm) 558cm x 15cm (wound contact pad 3.8cm x 11cm + border 1.7cm x 2cm) 8310cm x 20cm (wound contact pad 5cm x 16cm + border 2.5cm x 2cm) 13810cm x 25cm (wound contact pad 5cm x 21cm + border 2cm x 2.5cm) 155

10cm x 30cm (wound contact pad 5cm x 25cm + border 2.4cm x 2.5cm) 26010cm x 35cm (wound contact pad 5cm x 30cm + border 2.1cm x 2.5cm) 316

Mepore Film & Pad4cm x 5cm (wound contact pad 1.5cm x 2.5cm + border 1.25cm) 24

5cm x 7cm (wound contact pad 2.5cm x 4cm + border 1.25cm - 1.5cm) 259cm x 10cm (wound contact pad 4.5cm x 5cm + border 2.25cm - 2.5cm) 63

9cm x 15cm (wound contact pad 4.5cm x 10cm + border 2.25cm - 2.5cm) 939cm x 20cm (wound contact pad 4.5cm x 15cm + border 2.25cm - 2.5cm) 1399cm x 25cm (wound contact pad 4.5cm x 20cm + border 2.25cm - 2.5cm) 1539cm x 30cm (wound contact pad 4.5cm x 25cm + border 2.25cm - 2.5cm) 2059cm x 35cm (wound contact pad 4.5cm x 30cm + border 2.25cm - 2.5cm) 255

Mepore Ultra 7cm x 8cm 419cm x 20cm 1549cm x 25cm 1709cm x 30cm 280

10cm x 11cm 8211cm x 15cm 120

Nupore Plus 6cm x 7cm (wound contact pad 3cm x 4cm + border 1.5cm) 167cm x 8cm (wound contact pad 4cm x 5cm + border 1.5cm) 20

10cm x 11cm (wound contact pad 5cm x 5cm + border 2.5-3cm) 32

Appliance Size or Weight Basic Price p

356

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachOpSite Plus

6.5cm x 5cm (wound contact pad 4cm x 2.5cm + border 1.25cm) 338.5cm x 9.5cm (wound contact pad 3.7cm x 7.3cm + border 2.4cm - 1.1cm) 92

10cm x 12cm (wound contact pad 5cm x 7.5cm + border 2.5cm - 2.25cm) 12410cm x 20cm (wound contact pad 5.5cm x 15cm + border 2.25cm - 2.5cm) 21010cm x 35cm (wound contact pad 5.7cm x 30cm + border 2.15cm - 2.5cm) 347

OpSite Post-Op 8.5cm x 9.5cm 908.5cm x 15.5cm 124

10cm x 12cm 12210cm x 20cm 20510cm x 25cm 25910cm x 30cm 30610cm x 35cm 341

Pharmapore-PU 8.5cm x 15.5cm 2010cm x 25cm 3810cm x 30cm 58

PremierPore VP 5cm x 7cm 1310cm x 10cm 1610cm x 15cm 2410cm x 20cm 3610cm x 25cm 3810cm x 30cm 5710cm x 35cm 70

Soffix Med 8cm x 10cm 910cm x 10cm 1010cm x 15cm 1810cm x 20cm 2210cm x 25cm 2810cm x 35cm 40

Tegaderm +Pad5cm x 7cm (wound contact pad 2.5cm x 4cm + border 1.25cm - 1.5cm) 269cm x 10cm (wound contact pad 4.5cm x 6cm + border 2.25cm - 2cm) 66

9cm x 15cm (wound contact pad 4.5cm x 10cm + border 2.25cm - 2.5cm) 979cm x 20cm (wound contact pad 4.5cm x 15cm + border 2.25cm - 2.5cm) 1429cm x 25cm (wound contact pad 4.5cm x 20cm + border 2.25cm - 2.5cm) 1609cm x 35cm (wound contact pad 4.5cm x 30cm + border 2.25cm - 2.5cm) 265

357

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGSNote for all wound management dressings: The exact number of pieces, ordered by the prescriber is tobe dispensed.

Activated Charcoal Absorbent DressingAskina Carbosorb 10cm x 10cm 297

10cm x 20cm 573

CarboFlex 10cm x 10cm 3308cm x 15cm (Oval) 396

15cm x 20cm 750

KoCarbon Hydrophilic 10cm x 10cm 26920cm x 20cm 1061

KoCarbon Occlusive 4cm x 6.4cm (non-waterproof) 854cm x 6.5cm (waterproof) 8510cm x 15cm (waterproof) 32510cm x 25cm (waterproof) 636

Activated Charcoal Non-Absorbent DressingCarbopad VC 10cm x 10cm 162

10cm x 20cm 219CliniSorb 10cm x 10cm 196

10cm x 20cm 26115cm x 25cm 420

ODOLOCK 10.5cmx10.5cm 17810.5cmx19cm 244

Activated Charcoal Cloth with SilverActisorb Silver 220 6.5cm x 9.5cm 168

10.5cm x 10.5cm 26310.5cm x 19cm 478

Alginate containing Hydrocolloid Dressing - SterileIndications: Medium to heavily exuding wounds.Biatain Alginate 5cm x 5cm 101

10cm x 10cm 24015cm x 15cm 454

Urgosorb Pad 5cm x 5cm 9110cm x 10cm 21910cm x 20cm 401

Urgosorb Silver 5cm x 5cm 15910cm x 10cm 37910cm x 20cm 714

Alginate Dressing - SterileIndications: Medium to heavily exuding wounds.ActivHeal Alginate 5cm x 5cm 59

10cm x 10cm 11510cm x 20cm 283

Algicell Ag 5cm x 5cm 12210.8cm x 10.8cm 35210.1cm x 20.3cm 70020.3cm x 30.5cm 1880

Algisite Ag 5cm x 5cm 17110cm x 10cm 42710cm x 20cm 785

358

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Algisite M 5cm x 5cm 9610cm x 10cm 19915cm x 20cm 533

AlgiSorb 5cm x 5cm 5510cm x 10cm 11010cm x 20cm 27015cm x 25cm 495

Algivon 5cm x 5cm 24810cm x 10cm 425

Algivon Plus 5cm x 5cm 24510cm x 10cm 420

Algi-White Dense 5cm x 5cm 6510cm x 10cm 12710cm x 20cm 31115cm x 15cm 352

Algi-White Standard 5cm x 5cm 6210cm x 10cm 12110cm x 20cm 29715cm x 15cm 336

Algosteril 5cm x 5cm 9510cm x 10cm 21810cm x 20cm 368

Biatain Alginate Ag 5cm x 5cm 16810cm x 10cm 41215cm x 15cm 674

3cm x 44cm 445

CovaWound Alginate 5cm x 5cm 4310cm x 10cm 7310cm x 20cm 18615cm x 20cm 314

Cutimed Alginate 5cm x 5cm 7710cm x 10cm 16110cm x 20cm 302

Farmactive Alginato 5cm x 5cm 3710cm x 10cm 10010cm x 20cm 175

Kaltostat 5cm x 5cm 997.5cm x 12cm 21610cm x 20cm 42315cm x 25cm 728

Kendall Calcium Alginate 5cm x 5cm 7210cm x 10cm 15210cm x 14cm 24510cm x 20cm 29815cm x 25cm 52530cm x 61cm 2756

359

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Kendall Calcium Alginate Plus 10cm x 10cm 208

Kendall Calcium Alginate Zn 5cm x 5cm 8110cm x 10cm 17210cm x 20cm 337

Maxorb II 5cm x 5cm 7010cm x 10cm 145

Medihoney Gel Sheet 5cm x 5cm 17610cm x 10cm 423

Melgisorb 5cm x 5cm 9010cm x 10cm 18810cm x 20cm 352

Melgisorb Ag 5cm x 5cm 18710cm x 10cm 37415cm x 15cm 791

Melgisorb Plus 5cm x 5cm 7510cm x 10cm 15110cm x 20cm 298

Sorbalgon 5cm x 5cm 8410cm x 10cm 176

Sorbsan Flat 5cm x 5cm 8210cm x 10cm 17210cm x 20cm 322

Sorbsan Silver Flat 5cm x 5cm 15810cm x 10cm 40010cm x 20cm 731

Spirit Alginate 10cm x 10cm 90

Suprasorb A 5cm x 5cm 6410cm x 10cm 126

Suprasorb A + Ag 5cm x 5cm 16710cm x 10cm 42110cm x 20cm 778

Tegaderm Alginate 5cm x 5cm 8310cm x 10cm 175

Tegaderm Alginate Ag 5cm x 5cm 14210cm x 10cm 330

Trionic 5cm x 10cm 11910cm x 15cm 26810cm x 20cm 332

360

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Alginate Dressing with Superabsorbent Backing - SterileSorbsan Plus 7.5cm x 10cm 177

10cm x 15cm 31210cm x 20cm 39815cm x 20cm 553

Sorbsan Plus Border11.5cm x 14cm (wound contact pad 6.5cm x 9cm + border 2.5cm) 311

14cm x 19cm (wound contact pad 9cm x 14cm + border 2.5cm) 45214cm x 24cm (wound contact pad 9cm x 19cm + border 2.5cm) 54719cm x 24cm (wound contact pad 14cm x 19cm + border 2.5cm) 687

Sorbsan Silver Plus 7.5cm x 10cm 33710cm x 15cm 56010cm x 20cm 68215cm x 20cm 915

Bioactive Soluble Beta-Glucan GelWoulgan Gel 4g tube 2000

Bio-Cellulose DressingCelluDress - PHMB Square 10cm x 10cm 450

Suprasorb X Square 5cm x 5cm 2109cm x 9cm 438

Rectangular 14cm x 20cm 867Rope 2cm x 21cm 674

Suprasorb X + PHMBSquare 5cm x 5cm 263

9cm x 9cm 524Rectangular 14cm x 20cm 1193Rope 2cm x 21cm 743

Biopolymer Wound DressingLQD Spray 12ml 4500

Capillary Action Absorbent Wound DressingIndications: Low to heavily exuding wounds.Precautions: Avoid any arterial bleeds or very vascular wounds eg fungating woundsVacutex 5cm x 5cm 96

10cm x 10cm 17010cm x 15cm 22910cm x 20cm 275

361

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Cavity DressingActicoat Flex 7 2.5cm x 60cm 974

ActivHeal Alginate Rope 2.5cm x 30cm 213

ActivHeal Aquafiber Rope 2cm x 42cm 181

Algicell Ag 1.9cm x 30.5cm 445

Algisite Ag 30cm/2g 590

Algisite M-Rope 2cm x 30cm 360

AlgiSorb 3cm x 30cm 204

Algivon Plus Ribbon (with probe) 2.5cm x 20cm 420

Algi-White Dense 2.5cm x 30cm 254

Algi-White Standard 2.5cm x 30cm 224

Algosteril Rope 30cm/2g 393

Aquacel Ribbon 1cm x 45cm 1892cm x 45cm 254

Aquacel Ag Ribbon 1cm x 45cm 3172cm x 45cm 489

Aquacel Ag+ Ribbon 1cm x 45cm 3142cm x 45cm 480

Askina Foam Cavity 2.4cm x 40cm 251

Biatain Ag 5cm x 8cm 418

Biatain Alginate 44cm 283

CovaWound Alginate Rope 2cm x 30cm 16730cm/2g 140

Cutimed Alginate 2.5cm x 30cm 369

Cutimed Cavity 5cm x 6cm 19310cm x 10cm 32015cm x 15cm 481

Cutimed Sorbact Ribbon 2cm x 50cm 4145cm x 200cm 816

Cutimed Sorbact Round Swab 3cm/5 pieces 339

Exufiber (includes product formerly listed under Protease Modulating Matrix - Sterile)

1cm x 45cm 1652cm x 45cm 185

Farmactive Alginato Rope 30cm 182

Kaltostat 2g 397

362

11/2019 Part IXAAPPLIANCES

Part IXA-Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Kendall Calcium Alginate Rope 30cm 28961cm 50791cm 546

Maxorb II 2.5cm x 30cm 340

Medihoney Antibacterial Honey Apinate

Rope 1.9cm x 30cm 423

Melgisorb Cavity 2.2cm x 32cm 355

Melgisorb Plus Cavity 3cm x 45cm 321

Melgisorb Ag Cavity 3cm x 44cm 466

N PermaFoam Cavity 10cm x 10cm 208

PolyMem Silver WIC 8cm x 8cm 710

PolyMem WIC 8cm x 8cm 372

Silvercel non-adherent 2.5cm x 30.5cm 398

Sorbalgon T 30cm/2g 360

Sorbsan Packing (with probe) 30cm/2g 350

Sorbsan Ribbon (with probe) 40cm 206

Sorbsan Silver Packing (with probe) 30cm/2g 580

Sorbsan Silver Ribbon (with probe) 40cm/1g 418

Spirit Packing Hydrophilic Gel Cavity 30cm/2g 250

Spirit Ribbon Hydrophilic Gel Cavity 40cm 152

Suprasorb A 30cm/2g 234

Suprasorb A + Ag 30cm/2g 623

Tegaderm Alginate 2cm x 30.4cm 292

Tegaderm Alginate Ag 3cm x 30cm 377

Tielle Packing 9.5cm x 9.5cm 214

UrgoClean Rope (with probe) 2.5cm x 40cm 2455cm x 40cm 324

Urgosorb Rope 30cm 287

Urgosorb Silver Rope 2.5cm x 30cm 381

Nto be deleted 1 February 2020

363

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Honey Based Topical ApplicationActibalm 10g 255

Activon Medical Grade Manuka Honey 25g 277

L-Mesitran Ointment 20g 39150g 990

L-Mesitran SOFT 15g 362

ManukaDress-T 15g 285

MANUKApli 30g 590

Medihoney Antibacterial Medical Honey 20g 39950g 997

Medihoney Antibacterial Wound Gel 10g 27120g 405

Melladerm Plus 20g 39850g 850

Melloxy 20g 39850g 850

Revamil Wound Gel 18g 348

Hydrocolloid Dressing - Fibrous - Silver Impregnated - SterileSilvercel Square 5cm x 5cm 171

11cm x 11cm 421Rectangular 2.5cm x 30.5cm 454

10cm x 20cm 782

Hydrocolloid Dressing - Semi-permeable - Sterile - With Adhesive BorderIndications: Light to medium exudating wounds.Precautions: Not suitable for infected wounds. Heavy exudate leads to too frequent changes of dressing.Dressing should seal round the borders of a wound.Sterile one-piece pack:BeneHold Bordered

Square5cm x 5cm (wound contact pad 3.4cm x 3.4 cm + border 0.8cm) 9110cm x 10cm (wound contact pad 8.4cm x 8.4cm + border 0.8cm) 22915cm x 15cm (wound contact pad 13.4cm x 13.4cm + border 0.8cm) 49120cm x 20cm (wound contact pad 18.4cm x 18.4cm + border 0.8cm) 706Sacral8.47cm x 10cm (wound contact pad 6.47cm x 8cm + irregular border) 30415.08cm x 17.8cm (wound contact pad 13.08cm x 15.8cm + irregular border) 548

Comfeel Plus ContourThese dressings are contoured to facilitate application to difficult areas, such as elbows and heels.6cm x 8cm (wound contact pad 6cm x 8cm + irregular border) 2279cm x 11cm (wound contact pad 9cm x 11cm + irregular border) 393

364

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Comfeel Plus Pressure ReliefCircular7cm diameter (wound contact pad 7cm diameter + irregular border) 35410cm diameter (wound contact pad 10cm diameter + irregular border) 47415cm diameter (wound contact pad 15cm diameter + irregular border) 714

CovaWound Hydrocolloid BorderSquare5cm x 5cm (wound contact pad 4.2cm x 4.2 cm + border 0.4cm) 9010cm x 10cm (wound contact pad 8cm x 8cm + border 1cm) 10715cm x 15cm (wound contact pad 13cm x 13cm + border 1cm) 227

Granuflex BorderedSquare6cm x 6cm (wound contact pad 6cm x 6cm + border 2cm) 18310cm x 10cm (wound contact pad 10cm x 10cm + border 2.0 - 2.5cm) 34615cm x 15cm (wound contact pad 15cm x 15cm + border 2.5cm) 660Triangular10cm x 13cm (wound contact pad 10cm x 13cm + border 2.0 - 2.5cm) 40815cm x 18cm (wound contact pad 15cm x 18cm + border 2.0 - 2.5cm) 636

Hydrocoll Border (Bevelled Edge)Square5cm x 5cm (wound contact pad 3.5cm x 3.5cm + border 0.75cm) 1047.5cm x 7.5cm (wound contact pad 4.5cm x 4.5cm + border 1.5cm) 17110cm x 10cm (wound contact pad 7.75cm x 7.75cm + border 1.25cm) 24915cm x 15cm (wound contact pad 12.5cm x 12.5cm + border 1.5cm) 468ConcaveThese dressings are contoured to facilitate application to difficult areas such as elbows and heels.8cm x 12cm (wound contact pad 9.3cm x 4.7cm + irregular border) 219Sacral (previously measured as 15cm x 18cm)12cm x 18cm (wound contact pad 14cm x 11cm + irregular border) 373

Tegaderm HydrocolloidOval10cm x 12cm (wound contact pad 7cm x 9cm + border 1.5cm) 23713cm x 15cm (wound contact pad 10cm x 12cm + border 1.5cm) 442Sacral17.1cm x 16.1cm (wound contact pad 13.9cm x 12.3cm + irregular border) 494

Ultec ProSquare21cm x 21cm (wound contact pad 15.2cm x 15.2cm + 2.9cm border) 467Sacral15cm x 18cm (wound contact pad 10cm x 12.5cm + irregular border) 33019.5cm x 23cm (wound contact pad 15cm x 17.5cm + irregular border) 498

365

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Hydrocolloid Dressing - Semi-permeable - Sterile - Without Adhesive BorderActivHeal Hydrocolloid

Square 10cm x 10cm 15815cm x 15cm 343

Sacral 15cm x 18cm 398Rectangular 5cm x 7.5cm 78

ActivHeal Hydrocolloid Foam BackedSquare 10cm x 10cm 155

15cm x 15cm 291Sacral 15cm x 18cm 336Rectangular 5cm x 7.5cm 97

BeneHoldSquare 5cm x 5cm 83

10cm x 10cm 15215cm x 15cm 31020cm x 20cm 619

Comfeel PlusSquare 10cm x 10cm 250

15cm x 15cm 53620cm x 20cm 772

Rectangular 4cm x 6cm 98Sacral 17cm x 17cm 584

CovaWound HydrocolloidSquare 10cm x 10cm 131

15cm x 15cm 26420cm x 20cm 474

DuoDERM SignalSquare 10cm x 10cm 220K

14cm x 14cm 386K20cm x 20cm 766K

Heel 18.5cm x 19.5cm 539KSacral 22.5cm x 20cm 630KOval 11cm x 19cm 333

Exuderm SatinSquare 5cm x 5cm 80

10cm x 10cm 15515cm x 15cm 33620cm x 20cm 591

Sacral 10cm x 9cm 33215cm x 16.5cm 398

FlexigranSquare 10cm x 10cm 219

366

11/2019 Part IXAAPPLIANCES

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Granuflex (modified)Square 10cm x 10cm 290

15cm x 15cm 55120cm x 20cm 829

Rectangular 15cm x 20cm 597

Hydrocoll BasicSquare 10cm x 10cm 253

NU-DERMSquare 5cm x 5cm 86

10cm x 10cm 15715cm x 15cm 32120cm x 20cm 641

Heel/Elbow 8cm x 12cm 321Sacral 15cm x 18cm 449

Tegaderm HydrocolloidSquare 10cm x 10cm 241

Ultec ProSquare 10cm x 10cm 228

15cm x 15cm 44420cm x 20cm 669

Hydrocolloid Dressing - Semi-permeable - Sterile - Chronic and acute exudating woundsWith Adhesive BorderBiatain Super

Square10cm x 10cm (wound contact pad 6cm x 6cm + border 2cm) 22412.5cm x 12.5cm (wound contact pad 8.5cm x 8.5cm + border 2cm) 36915cm x 15cm (wound contact pad 10cm x 10cm + border 2.5cm) 44520cm x 20cm (wound contact pad 14cm x 14cm + border 3cm) 694Rectangular12cm x 20cm (wound contact pad 8cm x 16cm + border 2cm) 370

With Non-Adhesive BorderBiatain Super

Square10cm x 10cm (wound contact pad 6cm x 6cm + border 2cm) 22412.5cm x 12.5cm (wound contact pad 8.5cm x 8.5cm + border 2cm) 36915cm x 15cm (wound contact pad 10cm x 10cm + border 2.5cm) 44520cm x 20cm (wound contact pad 14cm x 14cm + border 3cm) 694Rectangular12cm x 20cm (wound contact pad 8cm x 16cm + border 2cm) 370

Appliance Size or Weight Basic Price p

367

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Hydrocolloid Dressing - Thin - Semi-permeable - Sterile - With Adhesive BorderTegaderm Hydrocolloid Thin

Oval10cm x 12cm (wound contact pad 7cm x 9cm + border 1.5cm) 15813cm x 15cm (wound contact pad 10cm x 12cm + border 1.5cm) 295

Hydrocolloid Dressing - Thin - Semi-permeable - Sterile - Without Adhesive BorderBeneHold TASA

Square 5cm x 5cm 4510cm x 10cm 13115cm x 15cm 28320cm x 20cm 336

Comfeel Plus TransparentSquare 10cm x 10cm 131

15cm x 15cm 34120cm x 20cm 348

Rectangular 5cm x 7cm 685cm x 15cm 1625cm x 25cm 2639cm x 14cm 2499cm x 25cm 353

15cm x 20cm 346

CovaWound Hydrocolloid Thin/TransparentSquare 10cm x 10cm 72

15cm x 15cm 182Rectangular 5cm x 7cm 42

5cm x 10cm 4410cm x 15cm 10110cm x 25cm 210

DuoDERM Extra ThinRectangular 5cm x 10cm 78

9cm x 15cm 1839cm x 25cm 2939cm x 35cm 409

Square 7.5cm x 7.5cm 8310cm x 10cm 13715cm x 15cm 296

Flexigran ThinSquare 10cm x 10cm 108

Hydrocoll Thin FilmSquare 7.5cm x 7.5cm 72

10cm x 10cm 11915cm x 15cm 268

NU-DERM 10cm x 10cm 107

Spirit Thin HydrocolloidSquare 5cm x 5cm 35

7.5cm x 7.5cm 5010cm x 10cm 80

Tegaderm Hydrocolloid ThinSquare 10cm x 10cm 158

368

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Hydrogel Dressing - SterileIndications:Dry "sloughy" or necrotic wounds; lightly exudating wounds; granulating wounds.Precautions: Not suitable for heavily-exudating wounds. Care should be taken to choose the appropriatesecondary dressing.ActivHeal Hydrogel 8g 123

15g 141

AquaForm Hydrogel 8g 16715g 204

P Askina Gel 15g 206

Cutimed Gel 8g 17315g 21025g 310

Flamozil Hydrocolloid Gel 50g 645

Flexigran Gel 15g 190

Granugel Hydrocolloid Gel 15g 241

IntraSite Gel 8g 18715g 25125g 372

Iodoflex Paste 5g 42310g 84517g 1339

Iodosorb Ointment 10g tube 46720g tube 934

Iodosorb Powder 3g sachet 200

Nu-Gel 15g 213

Octenilin Wound Gel 20ml 478250ml 2521

Prontosan Wound Gel 30ml 655

Prontosan Wound Gel X 50g 1199250g 3210

Purilon Gel 8g 18115g 236

Spirit Amorphous Hydrogel 15g 123

SurgihoneyRO 20g tube 91250g tube 2280

Pto be deleted 1 January 2020

369

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Hydrogel SheetWith Adhesive BorderCutimed HydroControl Square 4.5cm x 4.5cm 99

7.5cm x 7.5cm 17910cm x 10cm 22515cm x 15cm 433

Hydrosorb Comfort Square 12.5cm x 12.5cm 370Rectangular 4.5cm x 6.5cm 192

7.5cm x 10cm 254

KerraLite Cool Adhesive Square 8cm x 8cm 20711cm x 11cm 27715cm x 15cm 441

L-Mesitran Border Square10cm x 10cm (wound contact pad 5.8cm x 5.8cm + border 2.1cm) 276

Without Adhesive BorderActiFormCool Square 10cm x 10cm 274

20cm x 20cm 823Rectangular 5cm x 6.5cm 186

10cm x 15cm 393Aquaflo Discs 7.5cm 260

12cm 537

Coolie Disc 7cm Diameter 196

Cutimed Sorbact Gel Square 7.5cm x 7.5cm 272Rectangular 7.5cm x 15cm 460

Gel FX Square 10cm x 10cm 16015cm x 15cm 320

Geliperm Square 10cm x 10cm 253

Hydrosorb Square 10cm x 10cm 23120cm x 20cm 694

Rectangular 5cm x 7.5cm 162

IntraSite Conformable Square 10cm x 10cm (7.5g) 187Rectangular 10cm x 20cm (15g) 253

10cm x 40cm (30g) 452

KerraLite Cool Non-Adhesive Square 6cm x 6cm 179Rectangular 8.5cm x 12cm 264

18cm x 12.5cm 382

370

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

L-Mesitran Hydro Square 10cm x 10cm 265Rectangular 15cm x 20cm 548

L-Mesitran Net Square 10cm x 10cm 255

Luofucon Hydrogel see Spirit Hydrogel

Novogel Square 10cm x 10cm 31830cm x 30cm (0.15cm thickness) 127130cm x 30cm (0.30cm thickness) 1347

Rectangular 5cm x 7.5cm 19915cm x 20cm 60720cm x 40cm 1156

pack of 2Circular 7.5cm Diameter 584

eachSanoSkin NET 8.5cm x 12cm 228

Spirit Hydrogel (formerly Luofucon Hydrogel)

Rectangular 5.5cm x 9cm 135Square 10cm x 10cm 151

Vacunet Square 10cm x 10cm 193Rectangular 10cm x 15cm 286

Non-Adherent Polyester Film DressingKendall Telfa Clear 7.5cm x 7.5cm 160

10cm x 12.5cm 16830cm x 30cm 23330cm x 60cm 296

Polysaccharide Wound DressingNanogen Aktigel 15ml 1510

90ml 7000

Nanogen Aktiv 3cm x 3cm 22405cm x 5cm 41208cm x 8cm 6140

10cm x 10cm 750010cm x 20cm 12000

Appliance Size or Weight Basic Price p

371

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Polyurethane Foam Film Dressing - Sterile - With Adhesive BorderLight to medium exudating wounds CovaWound Non-Adherent Foam with Border

Square 10cm x 10cm (wound contact pad 5cm x 5cm + border 5cm) 8015cm x 15cm (wound contact pad 10cm x 10cm + border 5cm) 114

Rectangular10cm x 20cm (wound contact pad 5cm x 15cm + border 5cm) 19115cm x 20cm (wound contact pad 10cm x 15cm + border 5cm) 298

TielleSquare 11cm x 11cm (wound contact pad 7cm x 7cm + border 2cm) 240

15cm x 15cm (wound contact pad 11cm x 11cm + border 2cm) 39218cm x 18cm (wound contact pad 14cm x 14cm + border 2cm) 499

Rectangular7cm x 9cm (wound contact pad 3cm x 5cm + border 2cm) 12915cm x 20cm wound contact pad 11cm x 16cm + border 2cm) 490

Tielle SacrumSquare 18cm x 18cm (wound contact pad 12cm x 10cm + border 3 - 5cm) 363

Polyurethane Foam Film Dressing - Sterile - Without Adhesive Border Light to medium exudating woundsAdvazorb Lite Square 7.5cm x 7.5 cm 71

10cm x 10cm 9912.5cm x 12.5cm 146

15cm x 15cm 19320cm x 20cm 345

Rectangular 10cm x 20cm 308

PolyMem Finger/Toe Size 1 252Size 2 252Size 3 252Size 4 301Size 5 327

Tube 7cm x 7cm 1739cm x 9cm 219

Transorbent (adhesive) Square 10cm x 10cm 20215cm x 15cm 37120cm x 20cm 592

Rectangular 5cm x 7cm 107

Polyurethane Foam Film Dressing - Sterile - With Adhesive BorderLightly to non-exuding woundsPolyMem

Square 5cm x 5cm (wound contact pad 2.5cm x 2.5cm + border 1.25cm) 52Tielle Lite

Square11cm x 11cm (wound contact pad 7cm x 7cm + border 2cm) 233

Rectangular7cm x 9cm (wound contact pad 3cm x 5cm + border 2cm) 1238cm x 15cm (wound contact pad 4cm x 11cm + border 2cm) 2868cm x 20cm (wound contact pad 4cm x 16cm + border 2cm) 303

372

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Polyurethane Foam Film Dressing - Sterile - With Adhesive BorderModerate to heavily exuding woundsActivHeal Foam Adhesive

Square7.5cm x 7.5cm (wound contact pad 5cm x 5cm + border 1.25cm) 11810cm x 10cm (wound contact pad 6.25cm x 6.25cm + border 1.875cm) 16312.5cm x 12.5cm (wound contact pad 7.5cm x 7.5cm + border 2.5cm) 16815cm x 15cm (wound contact pad 11cm x 11cm + border 2cm) 21520cm x 20cm (wound contact pad 13.5cm x 13.5cm + border 3cm) 450

ActivHeal Foam Contact Square

7.5cm x 7.5cm (wound contact pad 5cm x 5cm + border 1.25cm) 12910cm x 10cm (wound contact pad 7.5cm x 7.5cm + border 1.25cm) 18912.5cm x 12.5cm (wound contact pad 10cm x 10cm + border 1.25cm) 21820cm x 20cm (wound contact pad 17cm x 17cm + border 1.5cm) 605

Rectangular10cm x 20cm (wound contact pad 7.5cm x 17.5cm + border 1.25cm) 270

Sacral18cm x 18.5cm (wound contact pad 13cm x 14.5cm + border 2cm-2.5cm) 320

ActivHeal PHMB Foam AdhesiveSquare

7.5cm x 7.5cm 23110cm x 10cm 40812.5cm x 12.5cm 47715cm x 15cm 67520cm x 20cm 1019

Rectangular10cm x 20cm 675

Sacral18cm x 18.5cm 814

Allevyn Adhesive (Adhesive faced pad)Square

7.5cm x 7.5cm (wound contact pad 5cm x 5cm + border 1.25cm) 15510cm x 10cm (wound contact pad 7.5cm x 7.5cm + border 1.25cm) 22712.5cm x 12.5cm (wound contact pad 10cm x 10cm + border 1.25cm) 27717.5cm x 17.5cm (wound contact pad 15cm x 15cm + border 1.25cm) 54722.5cm x 22.5cm (wound contact pad 20cm x 20cm + border 1.25cm) 797

Rectangular12.5cm x 22.5cm (wound contact pad 10cm x 20cm + border 2cm) 431

Anatomically Shaped Sacral Dressing17cm x 17cm (wound contact pad 13cm x 13cm + border 2cm) 41122cm x 22cm (wound contact pad 18cm x 18cm + border 2cm) 592

373

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Biatain AdhesiveSquare

7.5cm x 7.5cm (wound contact pad 4cm x 4cm + border 1.75cm) 10910cm x 10cm (circular wound contact pad 6cm diameter + irregular border) 18212.5cm x 12.5cm (wound contact pad 8cm x 8cm + border 2.25cm) 26515cm x 15cm (wound contact pad 10cm x 10cm + border 2.5cm) 39418cm x 18cm (wound contact pad 13cm x 13cm + border 2.5cm) 535

Sacral17cm x 17cm (wound contact pad 9.5cm x 9.5cm + border 3.75cm) 24123cm x 23cm (wound contact pad 13cm x 13cm + border 5cm) 458

Heel Dressing19cm x 20cm (wound contact pad 12cm x 13cm + border 3.5cm) 535

Contour17cm diameter (wound contact pad 8cm diameter + irregular border) 514

Rectangular18cm x 28cm (wound contact pad 10cm x 20cm + border 4cm) 792

Circular see under 'Square' with circular pad

ComfiHEALSquare

7.5cm x 7.5cm (wound contact pad 3.8cm x 3.8cm + border 1.85cm) 12210cm x 10cm (wound contact pad 6.4cm x 6.4cm + border 1.8cm) 18915cm x 15cm (wound contact pad 11.4cm x 11.4cm + border 1.8cm) 338

GenaFoam BorderSquare

10cm x 10cm (wound contact pad 5cm x 5cm + border 2.5cm) 15415cm x 15cm (wound contact pad 10cm x 10cm + border 2.5cm) 39320cm x 20cm (wound contact pad 15cm x 15cm + border 2.5cm) 572

Kendall AMD Foam IslandSquare 8.9cm x 8.9cm 311

14cm x 14cm 64419cm x 19cm 1238

Rectangular4.4cm x 8.3cm 2508.9cm x 14cm 490

Kendall Foam IslandSquare

10cm x 10cm (wound contact pad 5cm x 5cm + 2.5cm border) 15415cm x 15cm (wound contact pad 10cm x 10cm + 2.5cm border) 29020cm x 20cm (wound contact pad 15cm x 15cm + 2.5cm border) 546

N PermaFoamConcave

16.5cm x 18cm (wound contact pad 10.5cm x 12cm + border 3cm) 416Sacral

18cm x 18cm (wound contact pad 11cm x 9.5cm + border 3-4.25cm) 34222cm x 22cm (wound contact pad 14.5cm x 12.5cm + border 3.75-4.75cm) 393

Nto be deleted 1 February 2020

374

11/2019 Part IXAAPPLIANCES

DRESSINGS eachWOUND MANAGEMENT DRESSINGSN PermaFoam Comfort

Square 8cm x 8cm (wound contact pad 3.5cm x 3.5cm + border 2.25cm) 11611cm x 11cm (wound contact pad 6cm x 6cm + border 2.5cm) 22015cm x 15cm (wound contact pad 10cm x 10cm + border 2.5cm) 35820cm x 20cm (wound contact pad 14cm x 14cm + border 3cm) 520

Rectangular10cm x 20cm (wound contact pad 5cm x 14cm + border 2.5-3cm) 347

PolyMemRectangular

8.9cm x 11.4cm (wound contact pad 5cm x 7.6cm + border 1.9cm) 218Oval 5cm x 7.6cm (wound contact pad 2.5cm x 5cm + irregular border) 116

8.8cm x 12.7cm (wound contact pad 5cm x 7.6cm + irregular border) 20616.5cm x 20.9cm (wound contact pad 10.1cm x 14.6cm + irregular border) 679

Sacral 18.4cm x 20cm (wound contact pad 11.4cm x 12cm + border 3.5-4cm) 456

PolyMem MaxSquare

13.3cm x 13.3cm (wound contact pad 9cm x 9cm + border 2.2cm) 293

Tegaderm Foam Adhesive Square

14.3cm x 14.3cm (wound contact pad 10cm x 10cm + border 2cm) 360Oval

6.9cm x 7.6cm (wound contact pad 3.1cm x 3.8cm + border 0.35cm) 14910cm x 11cm (wound contact pad 6cm x 7.6cm + border 1.7-2cm) 24214.3cm x 15.6cm (wound contact pad 10cm x 11cm + border 2cm) 43219cm x 22.2cm (wound contact pad 14cm x 17.1cm + border 2.5cm) 709

Circular (Heel)13.9cm x 13.9cm (wound contact pad 7.6cm x 7.6cm + border 3.2cm) 430

Soft Cloth Border6.9cm x 6.9cm (wound contact pad 2.5cm x 2.5cm + border 0.95cm) 174

Tielle PlusSquare

11cm x 11cm (wound contact pad 7cm x 7cm + border 2cm) 26615cm x 15cm (wound contact pad 11cm x 11cm + border 2cm) 434

Rectangular15cm x 20cm (wound contact pad 11cm x 16cm + border 2cm) 545

Sacrum15cm x 15cm (wound contact pad 7.2cm x 10cm + border 2.5-5.3cm) 317

Tielle Plus Heel Hydropolymer Adhesive DressingHeel Dressing

20cm x 26.5cm (wound contact pad 14.5cm x 14.5cm + irregular border) 450

Xtrasorb Foam Adhesive Square

8cm x 8cm (wound contact pad 5cm x 5cm + border 1.5cm) 15011.5cm x 11.5cm (wound contact pad 7.3cm x 7.3cm + border 2.1cm) 24015.5cm x 15.5cm (wound contact pad 11cm x 11cm + border 2.25cm) 340

Nto be deleted 1 February 2020

Appliance Size or Weight Basic Price p

375

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Polyurethane Foam Film Dressing - Sterile - Without Adhesive Border Moderate to heavily exuding wounds365 Foam Square 7.5cm x 7.5cm 63

10cm x 10cm 9915cm x 15cm 200

Rectangular 10cm x 20cm 200

ActivHeal Foam Heel 18cm x 12cm 348

ActivHeal Non-Adhesive Foam Square 5cm x 5cm 7510cm x 10cm 11320cm x 20cm 392

Rectangular 10cm x 20cm 234

ActivHeal PHMB Foam Non-AdhesiveSquare 5cm x 5cm 192

7.5cm x 7.5cm 31710cm x 10cm 39915cm x 15cm 66920cm x 20cm 980

Rectangular 10cm x 20cm 669

ActivHeal Tracheostomy Foam Square 10cm x 10cm (fenestrated) 146

Advazorb Square 5cm x 5cm 667.5cm x 7.5cm 8010cm x 10cm 110

12.5cm x 12.5cm 16220cm x 20cm 38215cm x 15cm 214

Rectangular 10cm x 20cm 342

Advazorb Heel Heel 17cm x 21cm 484

Allevyn Non-Adhesive Square 5cm x 5cm 13110cm x 10cm 25920cm x 20cm 695

Rectangular 10cm x 20cm 416Heel (Cup Shaped) 10.5cm x 13.5cm 530

Askina Foam Square 10cm x 10cm 22520cm x 20cm 593

Rectangular 10cm x 20cm 355

Askina Heel Heel 12cm x 20cm 480

Biatain-Ibu Non-Adhesive Square 15cm x 15cm 54020cm x 20cm 919

Rectangular 5cm x 7cm 17810cm x 12cm 343

10cm x 22.5cm 540

376

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Biatain-Ibu Soft-Hold Square 15cm x 15cm 540Rectangular 10cm x 12cm 343

10cm x 22.5cm 540

Biatain Non-Adhesive Square 10cm x 10cm 24715cm x 15cm 45520cm x 20cm 675

Rectangular 5cm x 7cm 13610cm x 20cm 407

Biatain Soft-Hold Dressing Square 10cm x 10cm 26815cm x 15cm 446

Rectangular 5cm x 7cm 13610cm x 20cm 407

CovaWound Non-Adherent Foam Square 5cm x 5cm 4710cm x 10cm 7815cm x 15cm 15420cm x 20cm 250

Heel 10cm x 13cm 240

GenaFoam Square 5cm x 5cm 7110cm x 10cm 13415cm x 15cm 26320cm x 20cm 445

Heel 14cm x 23cm 499

Kendall AMD Antimicrobial foam dressingSquare 5cm x 5cm 253

10cm x 10cm 47615cm x 15cm 90220cm x 20cm 1321

Rectangular 8.8cm x 7.5cm (fenestrated) 42810cm x 20cm 902

Kendall AMD Antimicrobial Plus foam dressingSquare 10cm x 10cm 500Rectangular 8.8cm x 7.5cm (fenestrated) 448

Kendall Foam Square 5cm x 5cm 727.5cm x 7.5cm 123

10cm x 10cm 10712.5cm x 12.5cm 182

15cm x 15cm 26320cm x 20cm 304

Rectangular 8.5cm x 7.5cm fenestrated 9210cm x 20cm 207

Kendall Foam Plus Square 5cm x 5cm 827.5cm x 7.5cm 143

10cm x 10cm 14815cm x 15cm 34220cm x 20cm 408

Rectangular 8.5cm x 7.5cm fenestrated 12610cm x 20cm 272

377

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Kerraheel Heel 12cm x 20cm 478

Lyofoam Max Square 10cm x 10cm 11615cm x 15cm 21920cm x 20cm 406

Rectangular 7.5cm x 8.5cm 11110cm x 20cm 20515cm x 20cm 276

Lyofoam Max T Square 9cm x 9cm 125

PermaFoam NCircular 6cm diameter 113Square 8cm x 8cm (fenestrated) 130

N 10cm x 10cm 220N 15cm x 15cm 416N 20cm x 20cm 636

NRectangular 10cm x 20cm 376

PolyMem Square 8cm x 8cm 16010cm x 10cm 24913cm x 13cm 415

Rectangular 17cm x 19cm 613Roll 10cm x 61cm 1320

20cm x 60cm 3113

PolyMem Max Square 11cm x 11cm 29920cm x 20cm 1177

Spirit Foam Square 10cm x 10cm 155Heel 10cm x 13cm 109

10.5cm x 17cm 154

Tegaderm Foam Square 8.8cm x 8.8cm (Fenestrated) 22710cm x 10cm 22320cm x 20cm 603

Rectangular 10cm x 20cm 37810cm x 60cm 1277

Tielle Essential Heel Foam Heel 12cm x 18cm 348

Tielle Non Adhesive Square 5cm x 5cm 12210cm x 10cm 22115cm x 15cm 374

17.5cm x 17.5cm 561Rectangular 21cm x 22cm 601

Xtrasorb Foam Non-Adhesive Square 5cm x 5cm 11220cm x 20cm 500

Rectangular 10cm x 12cm 230

Nto be deleted 1 February 2020

Appliance Size or Weight Basic Price p

378

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Polyurethane Matrix DressingIndications: Light to medium exudating woundsWithout Adhesive BorderCutinova Hydro Square 10cm x 10cm 264

Rectangular 5cm x 6cm 13115cm x 20cm 559

Protease Modulating Matrix - Sterile1 Primary Wound Dressing 10ml spray (approximate coverage 378cm2) 2500

17ml spray (approximate coverage 640cm2) 4224

Abilar Resin Salve 20g tube (approximate coverage 200cm2) 806

ActivHeal Aquafiber Square 5cm x 5cm 6210cm x 10cm 14815cm x 15cm 279

ActivHeal Aquafiber Ag Square 5cm x 5cm 16710cm x 10cm 39815cm x 15cm 750

Rope 2.7cm x 32cm 405

ActivHeal Aquafiber Extra Square 5cm x 5cm 6010cm x 10cm 14415cm x 15cm 271

Rectangular 20cm x 30cm 798Rope 2.5cm x 30.5cm 174

2cm x 46cm 181

Aquacel Square 5cm x 5cm 10610cm x 10cm 25115cm x 15cm 473

Rectangular 4cm x 10cm 1354cm x 20cm 1994cm x 30cm 300

Aquacel Ag Square 5cm x 5cm 20410cm x 10cm 48615cm x 15cm 916

Rectangular 4cm x 10cm 2964cm x 20cm 3864cm x 30cm 578

20cm x 30cm 2272

Aquacel Ag Extra Square 5cm x 5cm 20310cm x 10cm 48215cm x 15cm 908

Rectangular 20cm x 30cm 2253

Aquacel Ag+ Extra Square 5cm x 5cm 20010cm x 10cm 47715cm x 15cm 899

Rectangular 20cm x 30cm 22304cm x 10cm 2914cm x 20cm 3794cm x 30cm 567

379

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Aquacel Extra Square 5cm x 5cm 10310cm x 10cm 24515cm x 15cm 461

Rectangular 4cm x 10cm 134K4cm x 20cm 198K4cm x 30cm 298K

Biosorb Gelling Fibre Square 5cm x 5cm 8010cm x 10cm 19115cm x 15cm 360

Ribbon 2cm x 45cm 197

Cadesorb 20g tube (approximate coverage 120cm2) 958

Catrix 1g sachet 380

CovaWound SuperAbsorbent Square 10cm x 10cm 3315cm x 15cm 6620cm x 20cm 116

Rectangular 5cm x 7.5cm 1912cm x 20cm 7320cm x 30cm 170

C-Sorb Square 7.5cm x 7.5cm 5810cm x 10cm 6520cm x 20cm 180

Rectangular 10cm x 20cm 9815cm x 25cm 18520cm x 30cm 220

Curea P1 Square 7.5cm x 7.5cm 17310cm x 10cm 21715cm x 15cm 39320cm x 20cm 695

Rectangular 10cm x 20cm 36710cm x 30cm 52520cm x 30cm 1011

Curea P1 Border Square 16cm x 16cm 403Rectangular 15cm x 25cm 605

Curea P1 drain Square 12cm x 12cm 267

Curea P2 (Non-Adherent) Rectangular 10cm x 20cm 45320cm x 30cm 1068

Square 11cm x 11cm 24915cm x 15cm 49520cm x 20cm 788

Cutimed Sorbion Sachet Border Square 10cm x 10cm 30315cm x 15cm 461

Rectangular 25cm x 15cm 718

Cutimed Sorbion Sachet Extra 5cm x 5cm 1497.5cm x 7.5cm 183

10cm x 10cm 23120cm x 20cm 71920cm x 10cm 38330cm x 20cm 1026

380

11/2019 Part IXAAPPLIANCES

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Cutimed Sorbion Sachet Multi Star 8cm x 8cm 30714cm x 14cm 502

Cutimed Sorbion Sachet S 10cm x 10cm drainage 271Square 7.5cm x 7.5cm 97

10cm x 10cm 15315cm x 15cm 30320cm x 20cm 358

Rectangular 12cm x 5cm 12810cm x 20cm 20420cm x 30cm 512

Cutimed Sorbion Sachet XL Rectangular 45cm x 25cm 1540

Cutimed Sorbion Sana Gentle 8.5cm x 8.5cm 20412cm x 12cm 25612cm x 22cm 46122cm x 22cm 82132cm x 22cm 1129

Cutimed Sorbion Sorbact Square 10cm x 10cm 58020cm x 20cm 1568

Rectangular 10cm x 20cm 90620cm x 30cm 2352

Cutisorb Ultra Square 10cm x 10cm 21320cm x 20cm 668

Rectangular 10cm x 20cm 35620cm x 30cm 1006

CytaSan Square 5cm x 5cm 9510cm x 10cm 22515cm x 15cm 420

Ribbon 2.5cm x 45cm 227

Drawtex 5cm x 5cm 957.5cm x 7.5cm 177

10cm x 10cm 22415cm x 20cm 60020cm x 20cm 698

7.5cm x 1m 155010cm x 1m 160020cm x 1m 2500

10cm x 1.3m 1600

DryMax Extra Soft Square 10cm x 10cm 8720cm x 20cm 184

Rectangular 10cm x 20cm 10420cm x 30cm 23337cm x 56cm 479

Durafiber Square 5cm x 5cm 9410cm x 10cm 22415cm x 15cm 422

Rectangular 4cm x 10cm 1214cm x 20cm 1774cm x 30cm 2662cm x 45cm 226

Appliance Size or Weight Basic Price p

381

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Durafiber Ag Square 5cm x 5cm 18310cm x 10cm 43615cm x 15cm 821

Rectangular 2cm x 45cm 4374cm x 10cm 2664cm x 20cm 3464cm x 30cm 518

20cm x 30cm 2035

Exufiber see also Cavity Dressing Square 5cm x 5cm 8510cm x 10cm 20515cm x 15cm 385

Rectangular 4.5cm x 10cm 1124.5cm x 20cm 1644.5cm x 30cm 24820cm x 30cm 894

FarlaSORB Square 10cm x 10cm 3220cm x 20cm 109

Rectangular 10cm x 20cm 7015cm x 20cm 8820cm x 30cm 14940cm x 60cm 560

Flaminal Forte 15g tube (approximate coverage 40cm2) 787

50g tube (approximate coverage 130cm2) 2605Flaminal Hydro 15g tube (approximate coverage 40cm2) 787

50g tube (approximate coverage 130cm2) 2605

Flivasorb Adhesive Square 12cm x 12cm 34315cm x 15cm 470

Rectangular 15cm x 25cm 672

KerraCel Square 5cm x 5cm 6010cm x 10cm 14415cm x 15cm 271

Ribbon 2.5cm x 45cm 191

KerraMaxCare Square 5cm x 5cm 10110cm x 10cm 131

Rectangular 10cm x 22cm 17113.5cm x 15.5cm 155

20cm x 22cm 30220cm x 30cm 34520cm x 50cm 461

KerraMaxCare Border Adhesive Square 16cm x 16cm 44526cm x 26cm 1011

Rectangular 16cm x 26cm 703

KerraMaxCare Multisite 21cm x 23cm 331

kliniderm superabsorbent (formerly listed under Absorbent Cellulose Dressing with Fluid Repellent Backing)

Square 10cm x 10cm 4920cm x 20cm 99

Rectangular 10cm x 15cm 6910cm x 20cm 8520cm x 30cm 14920cm x 40cm 199

382

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

KytoCel Square 5cm x 5cm 8110cm x 10cm 19315cm x 15cm 363

Rectangular 4cm x 10cm 1044cm x 20cm 1524cm x 30cm 229

2.5cm x 45cm 195

Medihoney Antibacterial Honey Apinate

Square 5cm x 5cm 20110cm x 10cm 342

Medihoney HCS Square 6cm x 6cm 22611cm x 11cm 45020cm x 20cm 1818

Rectangular 20cm x 30cm 2828

Medihoney HCS Surgical with Adhesive Border 7.5cm x 20cm 307

Medihoney HCS with Adhesive Border Square 11cm x 11cm 30815cm x 15cm 583

Mextra Superabsorbent Square 12.5cm x 12.5cm 125Rectangular 12.5cm x 17.5cm 151

12.5cm x 22.5cm 17317.5cm x 22.5cm 24422.5cm x 27.5cm 29922.5cm x 32.5cm 38522.5cm x 42.5cm 420

Proheal Square 5.1cm x 5.1cm 46810.2cm x 10.2cm 1248

Promogran 28cm2 (matrix is hexagonal in shape) 529

123cm2 (matrix is hexagonal in shape) 1592

Promogran Prisma 28cm2 (matrix is hexagonal in shape) 643

123cm2 (matrix is hexagonal in shape) 1831

Silvercel non-adherent Square 5cm x 5cm 16411cm x 11cm 393

Rectangular 10cm x 20cm 733

SorbXtra Square 10cm x 10cm 8020cm x 20cm 175

Rectangular 10cm x 20cm 10120cm x 30cm 21540cm x 60cm 800

Suprasorb C Rectangular 4cm x 6cm 4756cm x 8cm 734

8cm x 12cm 1325

Suprasorb Liquacel Square 5cm x 5cm 8610cm x 10cm 20515cm x 15cm 384

Rope 2cm x 45cm 213

383

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Tegaderm Superabsorber Square 10cm x 10cm 9820cm x 20cm 229

Rectangular 20cm x 30cm 261

UrgoClean Ag Square 6cm x 6cm 19610cm x 10cm 445

Rectangular 15cm x 20cm 839

UrgoClean Pad Square 6cm x 6cm 9810cm x 10cm 21815cm x 15cm 395

Rectangular 20cm x 15cm 410

UrgoStart plus Square 6cm x 6cm 44510cm x 10cm 616

Rectangular 15cm x 20cm 1108

UrgoStart plus Pad Square 6cm x 6cm 33710cm x 10cm 494

Rectangular 15cm x 20cm 1107

UrgoStart plus Border Square 8cm x 8cm 51210cm x 10cm 60713cm x 13cm 849

Rectangular 15cm x 20cm 1092Sacrum 20cm x 20cm 1467

Vliwasorb Pro Square 12.5cm x 12.5cm 9022cm x 22cm 190

Rectangular 12.5cm x 22.5cm 10622cm x 32cm 239

Xtrasorb HCS Square 6cm x 6cm 11511cm x 11cm 22020cm x 20cm 650

Xtrasorb HCS Adhesive Square 8cm x 8cm 15015cm x 15cm 330

Zetuvit Plus 10cm x 10cm 8410cm x 20cm 11615cm x 20cm 13320cm x 25cm 18220cm x 40cm 281

Zetuvit Plus Silicone Square 8cm x 8cm 15012.5cm x 12.5cm 225

20cm x 20cm 550Rectangular 10cm x 20cm 275

20cm x 25cm 610

Zorflex Square 5cm x 5cm 9910cm x 10cm 238

Rectangular 10cm x 20cm 45515cm x 25cm 758

Zorflex LA Square 10.5cm x 10.5cm 315Rectangular 15cm x 25cm 995

20cm x 10cm 625

384

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Scar Treatment PreparationsSilicone Gel SheetIndications: For prevention treatment - Keloid and Hypertrophic scars.Advasil Conform Square 10cm x 10cm 530

Rectangular 10cm x 15cm 935

Bapscarcare S Rectangular 5cm x 20cm 196410cm x 15cm 246815cm x 20cm 3475

Bapscarcare T Rectangular 5cm x 7cm 3175cm x 30cm 90710cm x 15cm 907

Cica-Care Rectangular 6cm x 12cm 151915cm x 12cm 2961

Ciltech Square 10cm x 10cm 75015cm x 15cm 1400

Rectangular 10cm x 20cm 1250

Dermatix Clear Square 13cm x 13cm 1579Rectangular 4cm x 13cm 688

13cm x 25cm 285320cm x 30cm 5197

Dermatix Fabric Square 13cm x 13cm 1579Rectangular 4cm x 13cm 688

13cm x 25cm 285320cm x 30cm 5197

Mepiform Rectangular 5cm x 7cm 3549cm x 18cm 13864cm x 31cm 1120

Oleeva Fabric Square 13cm x 13cm 1574Rectangular 4cm x 13cm 683

13cm x 25cm 284820cm x 30cm 5192

Scar Fx Rectangular 10cm x 20cm 160025.5cm x 30.5cm 60003.75cm x 22.5cm 1200

Shaped 7.5cm Diameter 85022.5cm x 14.5cm 1200

Silgel Square 10cm x 10cm 135020cm x 20cm 400040cm x 40cm 14400

Rectangular 10cm x 5cm 75015cm x 10cm 195030cm x 5cm 195010cm x 30cm 3150

Shaped 5cm Diameter 4005.5cm Diameter 40025cm x 15cm 211246cm x 8.5cm 3946

385

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Silicone Topical Cream & GelIndications: For prevention treatment - Keloid and Hypertrophic scars.Bapscarcare 20g tube 1712

Bapscarcare Gel SPF 10g tube 1192

Ciltech gel 15g tube 175060g tube 5000

Dermatix 15g tube 166660g tube 6053

Kelo-cote gel 15g tube 178860g tube 5100

Kelo-cote spray 100ml spray 5100

Kelo-cote UV 15g tube 1788

Nourisil MD 30g bottle 1395

Pro-Sil gel 17g tube 1500

ScarSil gel 15ml tube 101330ml tube 1519

SilDerm Dual Action Scar Gel 15g tube 1485

SilDerm Scar Gel 6g tube 54215g tube 1405

SilDerm Scar Spray 30ml spray 154160ml spray 3082

Silgel STC-SE (gel) 20ml tube 1900

Topical Cream and Gel (Non-Silicone/Others)Alhydran 30ml tube 1914

100ml tube 3526250ml tube 5943

Alhydran SPF30 59ml tube 3017

386

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Silver Coated Barrier Dressings - SterileActicoat Square 5cm x 5cm 364

10cm x 10cm 889Rectangular 10cm x 20cm 1390

20cm x 40cm 4755

Acticoat 7 Square 5cm x 5cm 63315cm x 15cm 3388

Rectangular 10cm x 12.5cm 1884

Acticoat Flex 3 Square 5cm x 5cm 36410cm x 10cm 889

Rectangular 10cm x 20cm 139020cm x 40cm 4756

Acticoat Flex 7 Square 5cm x 5cm 63315cm x 15cm 3389

Rectangular 10cm x 12.5cm 1885

Acticoat Moisture Control Square 5cm x 5cm 74510cm x 10cm 1742

Rectangular 10cm x 20cm 3395

Askina Calgitrol Ag Square 10cm x 10cm 32915cm x 15cm 63720cm x 20cm 1486

Askina Calgitrol Thin Square 5cm x 5cm 20210cm x 10cm 41915cm x 15cm 94120cm x 20cm 1662

KerraContact Ag Square 5cm x 5cm 32415cm x 15cm 1386

Rectangular 10cm x 12.5cm 79120cm x 40cm 4230

Silgen Ag spray 5ml 178010ml 254025ml 4820

Silverlon Flex Square 5cm x 5cm 33610cm x 10cm 66020cm x 20cm 1878

Rectangular 10cm x 20cm 1035

Silver Impregnated Polyurethane Foam Film DressingsWith Adhesive BorderAllevyn Ag Adhesive

Square 7.5cm x 7.5cm (wound contact pad 5cm x 5cm + border 1.25cm) 35910cm x 10cm (wound contact pad 7.5cm x 7.5cm + border 1.25cm) 56512.5cm x 12.5cm (wound contact pad 10cm x 10cm + border 1.25cm) 74217.5cm x 17.5cm (wound contact pad 15cm x 15cm + border 1.25cm) 1427

Sacral 17cm x 17cm (wound contact pad 13cm x 13cm + border 2cm) 111422cm x 22cm (wound contact pad 18cm x 18cm + border 2cm) 1493

Biatain Ag Square 12.5cm x 12.5cm (wound contact pad 8cm x 8cm + border 2.25cm) 959

18cm x 18cm (wound contact pad 13cm x 13cm + border 2.5cm) 1923Heel 19cm x 20cm (wound contact pad 12cm x 13cm + border 3.5cm) 1897Sacral 23cm x 23cm (wound contact pad 13cm x 13cm + border 5cm) 2016

PolyMem SilverOval 5cm x 7.6cm (wound contact pad 2.5cm x 5cm + border 1.25-1.3cm) 229

12.7cm x 8.8cm (wound contact pad 7.6cm x 5cm + border 1.9-2.55cm) 564

387

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Without Adhesive BorderAllevyn Ag Heel 10.5cm x 13.5cm 1105Allevyn Ag Non-Adhesive Square 5cm x 5cm 335

10cm x 10cm 63115cm x 15cm 119520cm x 20cm 1751

Biatain Ag Square 10cm x 10cm 83815cm x 15cm 168220cm x 20cm 2373

Rectangular 5cm x 7cm 34410cm x 20cm 1540

Polymem Silver Square 10.8cm x 10.8cm 893Rectangular 17cm x 19cm 1789

Silver PasteAskina Calgitrol Paste 15g 673

Soft Polymer Wound Contact DressingCutimed Sorbion Contact 7.5cm x 7.5cm 153

10cm x 10cm 20410cm x 20cm 41020cm x 20cm 71820cm x 30cm 1026

Lomatuell Pro 5cm x 5cm 6810cm x 10cm 19010cm x 20cm 35610cm x 30cm 471

Physiotulle 10cm x 10cm 23515cm x 20cm 715

Tegaderm Contact 7.5cm x 10cm 23220cm x 25cm 1106

Urgotul 5cm x 5cm 15710cm x 10cm 31310cm x 40cm 105315cm x 15cm 66615cm x 20cm 88620cm x 30cm 1425

UrgotulDuo 5cm x 10cm 25410cm x 12cm 39315cm x 20cm 913

UrgoStart Contact 5cm x 7cm 30310cm x 10cm 42815cm x 20cm 1020

Soft Polymer Wound Contact Dressing Impregnated with SilverAtrauman Ag 5cm x 5cm 53

10cm x 10cm 13010cm x 20cm 253

Physiotulle Ag 10cm x 10cm 236

Urgotul Silver 10cm x 12cm 32015cm x 20cm 906

Urgotul SSD 10cm x 12cm 32315cm x 20cm 916

388

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing - SterileAquacel Foam Adhesive 8cm x 8cm 144

8cm x 13cm 22910cm x 10cm 222K10cm x 20cm 26710cm x 30cm 514K12.5cm x 12.5cm 275K15cm x 15cm 39917.5cm x 17.5cm 551K21cm x 21cm 806K25cm x 30cm 1043K

Heel 19.8cm x 14cm 563KSacral 20cm x 16.9cm 505K

24cm x 21.5cm 565

Aquacel Foam Non-Adhesive 5cm x 5cm 139K10cm x 10cm 263K10cm x 20cm 363K15cm x 15cm 442K15cm x 20cm 604K20cm x 20cm 720K

HydroTac 10cm x 10cm 25912.5cm x 12.5cm 37515cm x 15cm 43120cm x 20cm 634

Heel 18cm x 18.5cm 604Circular 6cm diameter 152

HydroTac Comfort (with adhesive border) 8cm x 8cm 13210cm x 20cm 33512.5cm x 12.5cm 24315cm x 15cm 35520cm x 20cm 558

Sacral 18cm x 18cm 456

UrgoStart 6cm x 6cm 45710cm x 10cm 63315cm x 20cm 1138

Heel 12cm x 19cm 872

UrgoTul Absorb 6cm x 6cm 12110cm x 10cm 23815cm x 20cm 420

Heel 12cm x 19cm 480

389

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Soft Polymer Wound Contact Dressing with Polyurethane Foam Film Backing Impregnated with Antimicrobial Agents Allevyn Ag Gentle 5cm x 5cm 344

10cm x 10cm 64110cm x 20cm 106015cm x 15cm 119320cm x 20cm 1767

Allevyn Ag Gentle Border 7.5cm x 7.5cm 43910cm x 10cm 66012.5cm x 12.5cm 84917.5cm x 17.5cm 1618

Aquacel Ag Foam Adhesive 8cm x 8cm 35010cm x 10cm 55812.5cm x 12.5cm 73217.5cm x 17.5cm 134921cm x 21cm 186625cm x 30cm 2415

Heel 19.8cm x 14cm 1223Sacral 20cm x 16.9cm 1218

Aquacel Ag Foam Non-Adhesive 5cm x 5cm 33710cm x 10cm 61715cm x 15cm 117120cm x 20cm 171515cm x 20cm 1281

Cutimed Siltec Sorbact 7.5cm x 7.5cm 25812.5cm x 12.5cm 66215cm x 15cm 82017.5cm x 17.5cm 114722.5cm x 22.5cm 1745

Sacral 17.5cm x 17.5cm 82923cm x 23cm 1246

Cutimed Sorbact Hydroactive 7cm x 8.5cm 37814cm x 14cm 55119cm x 19cm 103824cm x 24cm 157314cm x 24cm 883

Cutimed Sorbact Hydroactive B 5cm x 6.5cm 40810cm x 10cm 72815cm x 15cm 137010cm x 20cm 1166

Kendall AMD Antimicrobial Foam Border Gentle Adhesion 4.4cm x 8.3cm 2838.9cm x 8.9cm 3648.9cm x 14cm 57314cm x 14cm 75319cm x 19cm 1449

Tielle PHMB Border 10cm x 10cm 41012.5cm x 12.5cm 47815cm x 15cm 68720cm x 20cm 1060

Tielle PHMB Non Adhesive 5cm x 5cm 1957.5cm x 7.5cm 32510cm x 10cm 40115cm x 15cm 670

PUrgoCell Silver 6cm x 6cm 44010cm x 10cm 60515cm x 20cm 1108

Pto be deleted 1 January 2020

Appliance Size or Weight Basic Price p

390

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Soft Silicone Wound Contact Dressing - SterileIndications: Non-exuding to heavily exuding wounds.Should be covered with a simple absorbent secondary dressing.Precautions: Dressing should be used with care in heavily bleeding wounds.ActivHeal Silicone Wound Contact Layer 5cm x 7.5cm 89

10cm x 10cm 20910cm x 20cm 39715cm x 15cm 381

Adaptic Digit Finger Small 2cm diameter 148Medium 2.4cm diameter 160Large 2.8cm diameter 178Extra Large 3cm diameter 184

Toe 2.8cm diameter 178

Adaptic Touch 5cm x 7.6cm 1137.6cm x 11cm 22512.7cm x 15cm 46520cm x 32cm 1250

Askina SilNet 5cm x 7.5cm 1167.5cm x 10cm 23510cm x 18cm 51220cm x 30cm 1253

Atrauman Silicone 5cm x 7cm 1137.5cm x 10cm 22710cm x 20cm 46820cm x 30cm 1259

Cuticell Contact 5cm x 7.5cm 1127.5cm x 10cm 21510cm x 18cm 44715cm x 25cm 749

kliniderm Silicone 5cm x 7.5cm 1107.5cm x 10cm 19910cm x 18cm 43017cm x 25cm 90020cm x 30cm 1245

Mepilex Transfer 7.5cm x 8.5cm 22710cm x 12cm 35815cm x 20cm 108320cm x 50cm 2769

391

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Mepitel 5cm x 7cm 1418cm x 10cm 28212cm x 15cm 56520cm x 32cm 1608

Mepitel One 6cm x 7cm 1229cm x 10cm 2419.5cm x 150cm 640013cm x 15cm 49824cm x 27.5cm 142527.5cm x 50cm 3900

Silflex 5cm x 7cm 1138cm x 10cm 23212cm x 15cm 46720cm x 30cm 120235cm x 60cm 4033

Silon-TSR 13cm x 13cm 35213cm x 25cm 54728cm x 30cm 737

SilTact 5cm x 7.5cm 987.5cm x 10cm 19212cm x 15cm 43020cm x 30cm 1150

Spycra Protect 5cm x 7.5cm 1325cm x 150cm 17927.5cm x 10cm 22110cm x 18cm 64418cm x 30cm 1483

Appliance Size or Weight Basic Price p

392

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Soft Silicone Wound Contact Dressing with Polyurethane Foam Film Backing - SterilePrecautions: Dressing should be used with care in heavily bleeding wounds.ActivHeal Silicone Foam Lite Non-Border 7.5cm x 7.5cm 95

10cm x 10cm 12915cm x 15cm 23810cm x 20cm 240

ActivHeal Silicone Foam Non-Border 5cm x 5cm 837.5cm x 7.5cm 9710cm x 10cm 14315cm x 15cm 26420cm x 20cm 42410cm x 20cm 266

Advazorb Silfix 7.5cm x 7.5cm 10110cm x 10cm 18912.5cm x 12.5cm 26415cm x 15cm 34310cm x 20cm 32420cm x 20cm 508

Advazorb Silfix Lite 7.5cm x 7.5cm 9110cm x 10cm 17012.5cm x 12.5cm 23815cm x 15cm 30810cm x 20cm 29220cm x 20cm 457

Allevyn Life Non-Bordered 5.5cm x 5.5cm 14510cm x 20cm 40810.5cm x 10.5cm 25516cm x 16cm 49220cm x 50cm 292721cm x 21cm 705

Askina DresSil 5cm x 7cm 8710cm x 10cm 14915cm x 15cm 27410cm x 20cm 27520cm x 20cm 438

C-Foam Silicone 5cm x 5cm 857.5cm x 7.5cm 9910cm x 10cm 16010cm x 20cm 28515cm x 15cm 320

CovaWound Silicone Foam 5cm x 5cm 785cm x 7cm 8010cm x 10cm 14210cm x 20cm 24115cm x 15cm 24820cm x 20cm 44620cm x 50cm 1760

393

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

CovaWound Silicone Foam Lite 7.5cm x 7.5cm 6110cm x 10cm 11210cm x 20cm 19115cm x 15cm 203

Cutimed Siltec 5cm x 6cm 12210cm x 10cm 22810cm x 20cm 37615cm x 15cm 42520cm x 20cm 645

Cutimed Siltec L 5cm x 6cm 10810cm x 10cm 15815cm x 15cm 348

Cutimed Siltec Plus 5cm x 6cm 9610cm x 10cm 18710cm x 20cm 29715cm x 15cm 38820cm x 20cm 549

Cutimed Siltec Plus Heel 16cm x 24cm 604

GentilFoam 5cm x 5cm 1207.5cm x 7.5cm 15010cm x 10cm 18710cm x 10cm (contoured) 36015cm x 20cm 535

KerraFoam Simple 5cm x 5cm 9010cm x 10cm 16910cm x 20cm 29615cm x 15cm 30320cm x 20cm 453

kliniderm Foam Silicone 5cm x 5cm 9510cm x 10cm 19510cm x 20cm 34915cm x 15cm 39520cm x 20cm 650

kliniderm Foam Silicone Heel 10cm x 17.5cm 315

kliniderm Foam Silicone Lite 6cm x 8.5cm 12710cm x 10cm 15715cm x 15cm 37020cm x 50cm 1878

Mepilex 5cm x 5cm 12311cm x 20cm 44420cm x 21cm 73620cm x 50cm 2959

394

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Mepilex Ag 10cm x 10cm 62810cm x 20cm 103615cm x 15cm 116620cm x 20cm 172820cm x 50cm 6483

Mepilex Heel 13cm x 20cm 55615cm x 22cm 638

Mepilex Heel Ag 13cm x 20cm 131115cm x 22cm 1469

Mepilex Lite 6cm x 8.5cm 18410cm x 10cm 22015cm x 15cm 42720cm x 50cm 2695

Mepilex XT 10cm x 11cm 27111cm x 20cm 44815cm x 16cm 49220cm x 21cm 742

Spirit Silicone Foam Non-Border 5cm x 5cm 5510cm x 10cm 10015cm x 15cm 178

Tegaderm Silicone Foam 10cm x 10.8cm 21715cm x 15cm 421

Tielle Essential Silicone Adhesive Foam 10cm x 10cm 17115cm x 15cm 30510cm x 20cm 29820cm x 20cm 455

With Silicone Adhesive Border365 Silicone Foam 7.5cm x 7.5cm 95

10cm x 10cm 16015cm x 15cm 28020cm x 20cm 49010cm x 20cm 290

ActivHeal Silicone Foam Border 7.5cm x 7.5cm 10710cm x 10cm 16212.5cm x 12.5cm 23215cm x 15cm 28420cm x 20cm 49110cm x 20cm 288

Sacral 18cm x 18.5cm 360

ActivHeal Silicone Foam Border Lite 5cm x 5cm 857.5cm x 7.5cm 10210cm x 10cm 14615cm x 15cm 2595.5cm x 12cm 14910cm x 20cm 25610cm x 30cm 380

395

11/2019 Part IXAAPPLIANCES

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Advazorb Border 7.5cm x 7.5cm 12110cm x 10cm 21412.5cm x 12.5cm 26315cm x 15cm 32110cm x 20cm 29620cm x 20cm 55710cm x 30cm 433

Advazorb Border Lite 7.5cm x 7.5cm 10910cm x 10cm 19312.5cm x 12.5cm 23715cm x 15cm 29010cm x 20cm 26620cm x 20cm 50110cm x 30cm 391

Advazorb Sacral 17cm x 19cm 50522cm x 23cm 663

Allevyn Gentle Border 7.5cm x 7.5cm 15510cm x 10cm 22710cm x 20cm 36610cm x 25cm 45710cm x 30cm 55112.5cm x 12.5cm 27815cm x 15cm 41117.5cm x 17.5cm 549

Allevyn Gentle Border Heel 23cm x 23.2cm 1001

Allevyn Gentle Border Lite 5cm x 5cm 935.5cm x 12cm 1927.5cm x 7.5cm 1448cm x 15cm 35610cm x 10cm 22410cm x 20cm 35415cm x 15cm 395

Oval 8.6cm x 7.7cm 15615.2cm x 13.1cm 365

Allevyn Gentle Border Lite Multisite 8cm x 8.4cm 209

Allevyn Gentle Border Multisite 17.1cm x 17.9cm 441

Allevyn Gentle Border Sacrum 16.8cm x 17.1cm 41121.6cm x 23cm 582

Appliance Size or Weight Basic Price p

396

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Allevyn Life 10.3cm x 10.3cm 176K12.9cm x 12.9cm 257K15.4cm x 15.4cm 315K21cm x 21cm 620K

Allevyn Life Heel 25cm x 25.2cm 1144

Allevyn Life Sacrum 17.2cm x 17.5cm 46821.6cm x 23cm 662

Askina DresSil Border 7.5cm x 7.5cm 11010cm x 10cm 19515cm x 15cm 29315cm x 20cm 38120cm x 20cm 507

Askina DresSil Heel 22cm x 21.6cm 650

Askina DresSil Sacrum 16cm x 17.5cm 371

Biatain Silicone 7.5cm x 7.5cm 15010cm x 10cm 22010cm x 20cm 27810cm x 30cm 53412.5cm x 12.5cm 26915cm x 15cm 40017.5cm x 17.5cm 531

Heel 18cm x 18cm 560Multishape 14cm x 19.5cm 444Sacral 15cm x 19cm 406

25cm x 25cm 585

Biatain Silicone Ag 7.5cm x 7.5cm 34310cm x 10cm 54010cm x 20cm 91310cm x 30cm 137012.5cm x 12.5cm 70615cm x 15cm 116317.5cm x 17.5cm 1287

Heel 18cm x 18cm 1422Sacral 15cm x 19cm 1059

25cm x 25cm 2271

Biatain Silicone Lite 5cm x 5cm 925cm x 12.5cm 2007.5cm x 7.5cm 13610cm x 10cm 20712.5cm x 12.5cm 246

C-Foam Silicone Border 7.5cm x 7.5cm 10410cm x 10cm 16510cm x 20cm 28515cm x 15cm 295

397

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

CovaWound Silicone Foam Border 7.5cm x 7.5cm 8810cm x 10cm 14510cm x 20cm 21710cm x 30cm 36412.5cm x 12.5cm 16915cm x 15cm 22515cm x 20cm 29225cm x 30cm 760

Sacral 15cm x 17cm 230

CovaWound Silicone Foam Border Lite 5cm x 5cm 635cm x 12.5cm 1297.5cm x 7.5cm 10510cm x 10cm 15510cm x 20cm 26515cm x 15cm 253

Cutimed Siltec B 7.5cm x 7.5cm 13612.5cm x 12.5cm 23215cm x 15cm 30917.5cm x 17.5cm 49922.5cm x 22.5cm 609

Cutimed Siltec Sacrum 17.5cm x 17.5cm 45823cm x 23cm 625

Cytafoam 5cm x 5cm 9210cm x 10cm 17115cm x 15cm 371

Sacral 17cm x 17.5cm 36823cm x 23cm 521

FoamLite 5cm x 5cm 768cm x 8cm 11610cm x 10cm 15810cm x 20cm 20715cm x 15cm 3535.5cm x 12cm 157

GentilFoam Border 7.5cm x 7.5cm 13510cm x 10cm 21012.5cm x 12.5cm 27515cm x 15cm 45015cm x 20cm 535

KerraFoam Gentle Border 7.5cm x 7.5cm 14810cm x 10cm 21710cm x 20cm 34912.5cm x 12.5cm 264

Oval 18cm x 21cm 540

KerraFoam Gentle Border Heel 23cm x 25cm 814

KerraFoam Gentle Border Sacrum 17cm x 17.5cm 45723cm x 26cm 849

KerraFoam Simple Border 7.5cm x 7.5cm 11110cm x 10cm 15510cm x 20cm 28612.5cm x 12.5cm 22515cm x 15cm 28215cm x 20cm 450

398

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

kliniderm Foam Silicone Border 7.5cm x 7.5cm 11810cm x 10cm 16312.5cm x 12.5cm 23315cm x 15cm 39510cm x 20cm 32010cm x 30cm 48015cm x 20cm 500

kliniderm Foam Silicone Heel Border 20cm x 20.8cm 659

kliniderm Foam Silicone Lite Border 4cm x 5cm 605cm x 12.5cm 1507.5cm x 7.5cm 10010cm x 10cm 15015cm x 15cm 350

kliniderm Foam Silicone Sacrum Border 18cm x 18cm 390

Luofucon Silicone Bordered Foam see Spirit Silicone Foam Border

Mepilex Border 7cm x 7.5cm 13510cm x 10.5cm 19010cm x 12.5cm 27210cm x 20cm 37210cm x 30cm 55815cm x 17.5cm 41817cm x 20cm 607

Mepilex Border Ag 7cm x 7.5cm 34910cm x 12.5cm 63210cm x 20cm 92010cm x 25cm 115210cm x 30cm 138115cm x 17.5cm 116117cm x 20cm 1504

Mepilex Border Comfort 7.5cm x 7.5cm 13510cm x 10cm 19010cm x 20cm 37210cm x 30cm 55812.5cm x 12.5cm 27215cm x 15cm 41015cm x 20cm 544

Mepilex Border Flex Oval 13cm x 16cm 34015cm x 19cm 411

Mepilex Border Heel 18.5cm x 24cm 66322cm x 23cm 763

Mepilex Border Lite 4cm x 5cm 925cm x 12.5cm 2017.5cm x 7.5cm 13510cm x 10.5cm 18715cm x 15cm 394

Mepilex Border Sacrum 15cm x 15cm 34016cm x 20cm 48518cm x 18cm 49022cm x 25cm 79123cm x 23cm 800

399

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Mepilex Border Sacrum Ag 18cm x 18cm 121320cm x 20cm 147523cm x 23cm 1938

Spirit Silicone Foam Border Lite (formerly Spirit Silicone Border Foam Lite)

7.5cm x 7.5cm 6010cm x 10cm 130

Spirit Silicone Border Sacrum Foam 17cm x 17.5cm 325

Spirit Silicone Foam Border (formerly Luofucon Silicone Bordered Foam)

7.5cm x 7.5cm 6010cm x 10cm 13010cm x 20cm 25912.5cm x 12.5cm 20215cm x 15cm 285

Tegaderm Silicone Foam Border 7.5cm x 7.5cm 13510cm x 10cm 19015cm x 15cm 41815cm x 17cm 47016.5cm x 16.5cm 59318.5cm x 22cm 599

Tielle Essential Silicone Border 7.5cm x 7.5cm 11310cm x 10cm 16210cm x 20cm 28812.5cm x 12.5cm 23215cm x 15cm 28420cm x 20cm 491

Sacral 18.5cm x 18.5cm 410

Tielle Silicone Border 7cm x 9cm 14510cm x 10cm 21312.5cm x 12.5cm 26117.5cm x 17.5cm 51421cm x 22cm 607

UrgoStart Border 8cm x 8cm 52610cm x 10cm 62413cm x 13cm 87215cm x 20cm 1122

Sacrum 20cm x 20cm 1507

UrgoTul Absorb Border 6.5cm x 10cm 1488cm x 8cm 1388cm x 15cm 24410cm x 10cm 19810cm x 25cm 36713cm x 13cm 24515cm x 20cm 398

Sacrum 20cm x 20cm 435

Topical HaemoglobinGranulox 12ml spray 12500

Appliance Size or Weight Basic Price p

400

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Topical Negative Pressure System AccessoriesAvance Film with Safetac 747Avance Flat Drain 981Avance Round Drain 994Avance Solo kit 35000Avance Transfer Pad 973Avance Transparent Film 623Avance Y Quick Connector 277Avelle pump 10085Foam Wound Dressing (Smith & Nephew) 10cm x 12.5cm x 1.5cm 791

pack of 2Kerlix AMD Antimicrobial Super Sponges 15.2cm x 17.1cm 71

pack of 5178

eachKerlix AMD Gauze 11.4cm x 3.7m 164Mepiseal 499Nanova therapy unit 7218Renasys Adhesive gel patch 351KRenasys Soft Port 1149Renasys Y Connector (for use with Soft Port) 338Renasys Port Kit 983

SensaT.R.A.C Pad 1116

Snap Cartridge Device (60ml capacity) 75mmHg 7390100mmHg 7390125mmHg 7390

Snap Plus Cartridge Device (150ml capacity) 125mmHg 12631

Snap Straps (for 60ml cartridges) Small 708Medium 708Large 708

Snap Plus Straps (for 150ml cartridges) Small 1875Medium 1875Large 1875

T.R.A.C. Y Connector 319

V.A.C. Drape 956V.A.C. Via 7-day kit 33413V.A.C. Gel 383

pack of 5Venturi Adhesive Gel Patches 1500Venturi Y Connector 1500

eachWoundASSIST TNP Gel Strip 337

XLR8 Y Connector 320

401

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS eachWOUND MANAGEMENT DRESSINGS

Wound Dressing PackAvance dressing kit Foam with ViewPad Small 1988

Medium 2302Large 2721

Foam with Mepitel & ViewPad

Small 2278Medium 2927Large 3971

Gauze with ViewPad Small 1622Medium 2041Large 2616

Avance dressing kit including film with Safetac

Foam with ViewPad Small 2058Medium 2509Large 2911

Gauze with ViewPad Small 1707Medium 2258Large 2811

Avelle dressing 16cm x 16cm 152816cm x 21cm 224112cm x 21cm 152812cm x 31cm 244512cm x 41cm 320021cm x 26cm 320026cm x 26cm 3950

Exsu-Fast kits Kit 1 (small wounds with low exudate) 2804Kit 2 (large wounds with heavy exudate) 3583Kit 3 (large wounds with low to medium exudate) 3583Kit 4 (small wounds with heavy exudate) 2804

KCI NPWT gauze dressing kit 1855

Nanova therapy multi-dressing kit 18cm x 14cm 384118cm x 18cm 401518cm x 28cm 4116

XPico 10cm x 20cm 1291410cm x 30cm 1299010cm x 40cm 1483915cm x 15cm 1299015cm x 20cm 1299015cm x 30cm 1483920cm x 20cm 1483925cm x 25cm 14839

Pico 7 10cm x 20cm 1294910cm x 30cm 1288410cm x 40cm 1484615cm x 15cm 1288415cm x 20cm 1288415cm x 30cm 1484620cm x 20cm 1484625cm x 25cm 14846

Pico 7 Multisite 15cm x 20cm 1282620cm x 25cm 14707

Pico 7Y Multisite 20cm x 25cm 23545

XPico Multisite 15cm x 20cm 1293120cm x 25cm 14827

Xto be deleted 1 December 2019

402

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Renasys-F Foam dressing kit with soft port Small 2369Medium 2753Large 3265

Renasys G dressing kit Round Drain 10fr 244119fr 2441

Flat Drain 10mm 2441Channel Drain 15fr 2441

Renasys G Gauze dressing kit with soft port Small 2019Medium 2532Large 3213

Snap Bridge dressing kit 3239

Snap dressing kit Foam 10cm x 10cm 289815cm x 15cm 338120cm x 20cm 3672

UNO dressing 10cm x 20cm 210010cm x 30cm 210010cm x 40cm 210015cm x 15cm 210015cm x 20cm 210015cm x 30cm 244020cm x 20cm 244020cm x 25cm 244025cm x 25cm 2440

UNO dressing kit 10cm x 20cm 2550010cm x 30cm 2550010cm x 40cm 2900015cm x 15cm 2550015cm x 20cm 2900015cm x 30cm 2900020cm x 20cm 2900020cm x 25cm 2900025cm x 25cm 29000

V.A.C. GranuFoam dressing kit Small 2338Medium 2783Large 3229

V.A.C. GranuFoam Bridge dressing kit 3264

V.A.C. GranuFoam Silver dressing kit with SensaT.R.A.C Small 3341Medium 3875

403

11/2019 Part IXAAPPLIANCES

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

V.A.C. Simplace EX dressing kit Small 2710Medium 3115

V.A.C. WhiteFoam dressing Small 1084Large 1736

V.A.C. WhiteFoam dressing kit Small 2639Large 3417

Venturi Foam Wound Care Set Portal Drain Small 1500Standard 1750

Venturi Gauze Wound Care Set

Portal Drain Standard 1500Large 1750

Venturi MiNO Slim Foam Wound Care Set

Portal Drain 10cm x 15cm x 1.5cm 1500

Venturi wound sealing kits Flat Drain Standard 1500Flat Drain Large 1750

WoundASSIST TNP Channel Drain Small/Medium 2081Medium/Large 2385

Wound Pack Small/Medium 2081Medium/Large 2385Extra Large 3405

XLR8 Foam dressing kit Small 2245Medium 2608Large 3094

XLR8 Gauze dressing kit Small 1939Medium 2431Large 3085

Appliance Size or Weight Basic Price p

404

11/2019 Part IXAAPPLIANCES

Part IXA- Wound Management Dressings

Appliance Size or Weight Basic Price p

DRESSINGS eachWOUND MANAGEMENT DRESSINGS

Wound Drainage Collection DeviceActiV.A.C Canister with gel 300ml 2895

Avance Canister & Tubing Kit Canister with solidifier 300ml 1988800ml 2616

Avance Solo Canister with Tubing Canister with solidifier 150ml 1511

Renasys canister kit 250ml with solidifier Small 1915800ml with solidifier Large 2127

Renasys Go canister kit 300ml with solidifier Small 2051750ml with solidifier Large 2827

Renasys Touch Canister with solidifier 300ml 2865Canister with solidifier 800ml 3932

S-Canister 250ml with solidifier 1900

V.A.C. Freedom canister with gel 300ml 2939

Venturi canister kit Canister with solidifier 1250

Venturi Compact canister kit Canister with solidifier 1250

Venturi MiNO Canister 150ml 1000

WoundASSIST TNP Canister 500ml 2030

XLR8 canister 200ml 1915400ml 2400600ml 2600

Transparent Absorbent Acrylic Dressing with Adhesive BorderLeukomed Control 5cm x 7cm (wound contact pad 2cm x 4cm) 114

7cm x 10cm (wound contact pad 4cm x 7cm) 1708cm x 15cm (wound contact pad 4.5cm x 11.5cm) 207

10cm x 24cm (wound contact pad 6cm x 20cm) 48010cm x 35cm (wound contact pad 6cm x 31cm) 577

Tegaderm Absorbent Clear Acrylic dressingOval 7.6cm x 9.5cm (wound contact pad 3.8cm x 5.7cm) 323

11.1cm x 12.7cm (wound contact pad 6cm x 7.5cm) 41814.2cm x 15.8cm (wound contact pad 8.5cm x 10.7cm) 589

Rectangular 14.9cm x 15.2cm (wound contact pad 10.1cm x 10.1cm) 88320cm x 20.3cm (wound contact pad 14.9cm x 15.2cm) 1417

Sacral 16.8cm x 19cm (wound contact pad 11.6cm x 14.5cm) 1057

405

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGS WOUND MANAGEMENT DRESSINGS

Wound Drainage PouchAll products in this category must be dispensed with a supply of wipes and disposal bags.All products in this category receive a home delivery fee of 340pIndications: Suitable for wounds with a low volume of exudateBiotrol Draina S Fistula for wound drainage and fistula management pack of 30

Mini (Cut to 30mm) (H08560E) 7995

Independence Extra Sticky Wound Protection/Collection Pouch pack of 10EA2 9111

Oakmed Option Wound Manager pack of 30cut-to-fit:10mm - 30mm Small (OM-S) 744310mm - 50mm Medium (OM-M) 824510mm - 50mm Large (OM-L) 8636

Indications: Suitable for wounds with a high volume of exudateBiotrol Draina S Fistula for wound drainage and fistula management pack of 20

Medium (Cut to 50mm) (H28555E) 7971Large (Cut to 88mm) (H28556E) 9803

Draina S Vision pack of 10Vision 50 (150ml cut to 50mm) H28565E 10384Vision 75 (250ml cut to 88mm) H28566E 10970

Eakin Wound PouchesFold and Tuck closure for wounds up to: pack of 10Small (45 x 30mm) 839250 4984Medium (110 x 75mm) 839251 7199Large (175 x 110mm) 839252 9414Extra Large (horizontal wounds upto 245 x 160mm) pack of 5

839253 8307Bung Closure for wounds up to: pack of 10Small (45 x 30mm) 839260 5538Small Plus (86 x 60mm) 839267 6531Medium (110 x 75mm) 839261 7753Large (175 x 110mm) 839262 10522Large (vertical incision wounds upto 250 x 80mm) pack of 5

839270 6831Extra Large (horizontal wounds upto 245 x 160mm)

839263 9414Extra Large (vertical wounds upto 245 x 160mm)

839265 9414Extra Large (vertical incision wounds upto 290 x 130mm)

839266 9414Bung Closure and access window for wounds up to:Extra Large (horizontal wounds upto 245 x 160mm)

839264 10522Extra Large (vertical wounds up to 245 x 160mm)

839268 10341Eakin access windows for use with Eakin pouchesSmall 839281 3836Large 839280 3876

Hollister Wound Drainage Collector pack of 1076mm 9701 822695mm 9702 8977

pack of 3100mm x 200mm 9703 5330

406

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pDRESSINGSWOUND MANAGEMENT DRESSINGS pack of 10

Independence Easy Access Pouch EA1 10197

Independence Small Wound Protection/Collection Pouch VAP3 11575

Independence Wound Protection/Collection Pouch VAP1 11808

Independence Xtra Large Wound Protection/Collection Pouch

VAP2 12607

Oakmed Option Wound Manager pack of 10Extra Small (wounds upto 90mm x 180mm) 12122

(WWM-XS)Small (horizontal wounds upto 245mm wide x 160mm high) 13483

(WWM-S)Medium (vertical wounds upto 90mm wide x 260mm high) 13782

(WWM-M)Large (wounds upto 160mm x 260mm) 16427

(WWM-L)Square (vertical wounds upto 160mm wide x 200mm high) 14382

(WWM-SQ)Oblong (vertical wounds upto 60mm x 190mm) 11971

(WWM-O)Extra Small with Access Port (wounds upto 90mm x 180mm) 13255

(WWM-XSA)Small with Access Port (horizontal wounds upto 245mm wide x 160mmhigh)

14082

(WWM-SA)Medium with Access Port (vertical wounds upto 90mm wide x 260mmhigh)

14382

(WWM-MA)Large with Access Port (wounds upto 160mm x 260mm) 17560

(WWM-LA)Square with Access Port (vertical wounds upto 160mm wide x 200mmhigh)

14981

(WWM-SQA)Oblong with Access Port (vertical wounds upto 60mm x 190mm) 13090

(WWM-OA)

Salts Healthcare Confidence Wound and Fistula Pouch with Flexifit (non sterile) pack of 10Small (horizontal wounds up to 60mm x 40mm) 5840

CWM01Small (vertical wounds up to 40mm x 60mm) 5840

CWM02Medium (vertical wound up to 53mm x 150mm) 8151

CWM03

Welland Fistula Bag pack of 30Cut-to-fit up to:40mm x 70mm PFV700 8429

Welland Wound ManagerSmall (cut to fit 30mm x 40mm) Clear pack of 10

(NOP700) 5366Medium (cut to fit 50mm x 70mm) Beige, split soft cover

(SOP500) 6517Large (cut to fit 90mm x 90mm) Beige, split soft cover pack of 5

(POP513) 3751Large (cut to fit 90mm x 90mm) Clear, with inspection window

(WOP713) 5610

407

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Appliance Size or Weight Basic Price pDROPPERS each

Glass, with bull-nose or curved flat end fitted (each in box) with good quality rubber teat.Where appropriate, a dropper should be supplied with eye, ear and nasal drops (See Part IV, containers and Part XVI (11.1.6) for details of prescription charges payable).

36

DRY MOUTH PRODUCTSSaliva Replacement and Stimulating ProductsAS Saliva Orthana Spray 50ml 492

500ml refill bottle 3427

Aequasyal Spray (see also Part XVIIA, Artificial Saliva Protective Spray, DPF)

40ml 985

Biotene Moisturising Mouthwash 500ml 567Biotene Oralbalance Gel 50g 446

BioXtra Dry Mouth Gel Mouthspray 50ml 398BioXtra Dry Mouth Mild Toothpaste 50ml tube 283BioXtra Dry Mouth Oral Gel 40ml 398BioXtra Dry Mouth Ultra Mild Mouthrinse 250ml bottle 372

Glandosane Spray 50ml 568

Oralieve Moisturising Mouth Gel 50ml 296Oralieve Moisturising Mouth Spray 50ml 495

Saliveze Mouth Spray 50ml 350

Salivix (see also Part XVIIA, Artificial Saliva Pastilles, DPF) 50 pastilles 355Salivix Plus 50 pastilles 355Salivix Spray 50ml 490

SST Saliva Stimulating Tablets (see also Part XVIIA) container of 100 486

Xerostom Mouthwash 250ml bottle 313Xerostom Pastilles 30 pastilles 285Xerostom Saliva Substitute Chewable Capsules 40 capsules 342Xerostom Saliva Substitute Gel 25ml 228Xerostom Toothpaste 50ml tube 285Xerotin Spray 100ml 686

EAR WAX SOFTENING MEDICAL DEVICESEar Drops - Olive OilAlissa Healthcare 10ml 142Arjun 10ml 126Care (Thornton & Ross) 10ml 142KliarVax Olive Oil 10ml 97Numark 15ml 92Oleax 15ml 140Sai-Meds Ltd 10ml 135St Georges Medical Ltd 10ml 140

20ml 270Ear Drops - Sodium BicarbonateAlissa Healthcare 10ml 125

KliarVax Sodium Bicarbonate 10ml 97

Sai-Meds Ltd 10ml 123

Thornton & Ross 10ml 125

408

11/2019 Part IXAAPPLIANCES

Appliance Size orWeight

Basic Price p

ELASTIC HOSIERYGraduated Compression HosierySpecification 40

Explanation of GarmentsN.B. The "Class" can be expressed either with roman or arabic numerals.

Class I Light (Mild) SupportCompression at ankle 14mm Hg - 17mm Hg

Indications - Superficial or early Varices. Varicosis during pregnancy.Styles - Thigh length or below knee with knitted in heel (reciprocated).

Class II Medium (Moderate) SupportCompression at ankle 18mm Hg - 24mm Hg

Indications - Varices of medium severity- Ulcer Treatment and prevention of recurrence. Mild oedema- Varicosis during pregnancy- Anklets and kneecaps: for soft tissue support

Styles - Thigh length or below knee with knitted in heel (reciprocated)

Class III Strong supportCompression at ankle 25mm Hg - 35mm Hg

Indications - Gross varices- Post Thrombotic Venous Insufficiency- Gross Oedema- Ulcer Treatment and prevention of recurrence- Anklets and kneecaps: for soft tissue support

Styles - Thigh length or below knee open or knitted in heel (reciprocated)

General NotesPrescribingBefore the prescription can be dispensed the following details must be given by the prescriber.

1. Quantity - single or pair2. Article including any accessories (see pages 409-410 for knit, style and price)3. Compression Class I, II or III

Constructional SpecificationThe complete structural specification, as well as performance requirements are contained in Drug TariffSpecification No. 40.

409

11/2019 Part IXAAPPLIANCES

ELASTIC HOSIERYSpecially Made Garments1. In cases where stock sizes are not suitable for patients owing to irregular limb dimensions, surgical

stockings in the prescribed compression class, to be made to the patient's individual measurements,should be specified.

2. All such garments are specially shaped during manufacture and may have a knitted in or open heeland open or knitted in toe.

SizingAll articles must conform to BS 6612:1985 with regard to size designation.LabellingAll articles must state clearly on the packaging that they conform with Drug Tariff Technical SpecificationNo 40. The packaging should also provide clear washing instructions in conformity with handwashing at40°C as defined in BS 2747 and washing instructions should be durably and clearly marked on eachgarment. The packaging should clearly define the garments percentage and fibre content.

DESCRIPTION OF ARTICLES AVAILABLECompressionClass (See page 408)

Type of Garment Standard Stock Sized Garments

* Made-to- Measure Garments

Knit Style Price per pair inpence

Price per pair inpence

CLASS I Circular Thigh 847 4480B. Knee 773 2802

CLASS II Circular Thigh 1258 4480B. Knee 1131 2802

Net Thigh 2267B. Knee 1769

Flat Bed Thigh 4480B. Knee 2802

CLASS III Circular Thigh 1491 4480B. Knee 1282 2802

Flat Bed Thigh 4480B. Knee 2802

* All such garments are specially shaped during manufacture and many have a knitted in or open heel andopen or knitted in toe with the following exceptions:Class II/III - Flat Bed Knit can only be supplied with closed heel and open toe.For Above Knee Stockings - see Thigh Length.

Accessories Price per item in penceActi-Glide 1502Additional Price for Fitted Suspender 74Arm Butler 800Compressana Easy 1208Easy-Slide (application aid for open toe stockings) (S,M,L,XL) 1267EZY-As compression hosiery applicator 3420EZY-As compression hosiery applicator handles 1610Foot Butler 800GUS Comfort 1467Juzo Easy Fit 3492Juzo Easy Fit XL 3492Magnide (M, L) 1456medi Arm Butler 3455medi Big Butler 3455medi Export Butler 3455Mediven 2 in 1 1306Neo-Slip (S, M, L) 711Rolly 2903Sigvaris Simon (XS, S, M, L) 4200Sockaid 1354Spare Suspender for thigh stockings 74Steve+ easyON (XS, S, M, L) 3190Steve+ Handles (XS, S, M, L) 1590Steve+ Ring (XS, S, M, L) 1445Steve Glide Dolphin (for open toe) (S,L) 999Suspender Belt Drug Tariff Specification No. 13 564

410

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

ELASTIC HOSIERYDESCRIPTION OF ARTICLES AVAILABLE

Standard Stock SizedGarments

Made-to-Measure

GarmentsCompressionClass

Knit Type of Garment Price per pair inpence

Price per pairin pence

CLASS II Circular Anklet 741 741Kneecap 741

Flat Bed Anklet 1539 1641Kneecap 1539 1641

Net Anklet 1456Kneecap 1210

CLASS III Circular Anklet 1034 1034Kneecap 988 988

Flat Bed Anklet 1034 1641Kneecap 988 1641

NB: The reimbursable price for one item is half the price of a pair.More than one prescription charge is payable when more than one piece of elastic hosiery is supplied. (seePart XVI sub paragraph 12.12)Note: Prescriptions should be endorsed with the style, ie, fabric or knit supplied.

ELECTRICAL STIMULATION WOUND DEVICE per packAccel-Heal 6 unit 24000

EMOLLIENT AND BARRIER PREPARATIONS eachAproDerm Colloidal Oat Cream 100ml 274

500ml pump 580

AproDerm Emollient Cream 50g 170500g pump 495

AproDerm Gel 100g 199500g 399

AproDerm Ointment 50g 145500g 395

AquaDerm Aqueous Cream 100g 79500g 399

AquaDerm Cetomacrogol Cream (Formula A) 500g 299

AquaDerm Hydrous Ointment 500g 415

AquaDerm Liquid Paraffin 50% in White Soft Paraffin 250g 175500g 349

Aquamax Cream 100g 189500g 399

Aquamax Wash 250g 299

Aquamol 50g 122500g pump 640

AriPro 250ml Aerosol 750

411

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

EMOLLIENT AND BARRIER PREPARATIONS eachCetraben Cream 50g 140

150g 398500g 599

1050g 1162

Cetraben Lotion 200ml 400500ml 564

Cetraben Ointment 125g 349450g 539

Dexeryl Cream 250g 316500g 590

Diprobase Cream 50g 128500g pump 632

Diprobase Lotion 50ml 128300ml 349

E45 Eczema Repair 200ml 449

Emelpin Ointment 125g 308500g 397

Emollin 150ml 400240ml Aerosol 639

EmulsifEss Ointment 500g 397

Enopen Cream 50g 140150g 398500g 599

1050g pump 1162

Epaderm Cream 50g pump 171150g pump 358500g pump 701

Epaderm Junior Cream 50g pump 170150g pump 358

Epaderm Junior Ointment 125g 385

Epaderm Ointment 125g 388500g 658

1kg 1225

Epimax Cream 100g 75500g 249

Epimax Oatmeal Cream 100g 199500g 299

Epimax Ointment 125g 192500g 299

412

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

EMOLLIENT AND BARRIER PREPARATIONS eachR Epimax Paraffin-Free Cream 500g 399

Epimax Paraffin-Free Ointment 500g 499

ExCetra Cream 100g 175500g 295

Exmabase Gel 500g 285

Exmaben Cream 500g 425

Exmalatum Cream 500g 445

ExmaQS 500g 295

ExoCream 50g 105125g 233350g 417

500ml pump 399

Fifty:50 Ointment 250g 183500g 366

Hydromol Bath & Shower Emollient 350ml 391500ml 446

1L 887

Hydromol Ointment 100g tube 320125g 292500g 4961 kg 820

HypoBase Gel 500g pump 583

isomol Gel 100g 199500g 292

KreaMoint 50:50 Ointment 500g 317

KreaMol A Cream 500g 279

LPL 63.4 bath additive and emollient 500ml 313

MyriBase Gel 100g 212500ml pump 466

Ovelle Cetomacrogol Cream (Formula A) 500g 299

Ovelle Emulsifying Ointment 500g 415

Pure Health Liquid Paraffin 50% in White Soft Paraffin Ointment 500g 366

RPlease refer to manufacturer for availability

413

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

EMOLLIENT AND BARRIER PREPARATIONS eachQV Bath Oil 250ml 293

500ml 479

QV Cream 100g 208500g 596

1050g 1214

QV Gentle Wash 250ml 319500ml 532

QV Intensive Ointment 450g 575

QV Skin Lotion 250ml 319500ml 532

Remedy Moisturiser 118ml tube 240

Soffen Cream 500g 479

Thirty:30 Ointment 125g 381250g 429500g 647

ZeroAQS Cream 500g 329

Zerobase Cream 50g 104500g 526

Zerocream 50g 117500g 408

Zeroderm Ointment 125g 241500g 410

Zerodouble Gel 100g 225500g 490

Zeroguent Cream 100g 233500g 699

Zerolatum Emollient Bath Additive 500ml 479

Zeroneum Bath Additive 500ml 448

Zeroveen 100g 274500g 589

414

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

EMOLLIENT AND BARRIER PREPARATIONS eachPreparations containing MentholAquaSoothe 1% 100g 370

500g 1543AquaSoothe 2% 50g 186

500g 1543

Arjun Cream 0.5% 500g 1530Arjun Cream 1% 100g 325

500g 1530Arjun Cream 2% 500g 1530

Preparations containing NicotinamideAdex Gel 100g 269

500g pump 599

Preparations containing Sodium HyaluronateAtopiclair 40ml 620

100ml 1240

Atopiclair Lotion 120ml 1480

Xclair 50g 1700

Preparations containing Sodium PidolateHydromol Cream 50g 223

100g 416500g 1212

Preparations containing UreaAquadrate Cream 30g 164

100g 440

Balneum Cream 50g pump 285500g pump 997

ClearZal Hard Skin Remover 100g 430

Dermatonics Dry Skin Balm 200ml 575500ml 1175

Dermatonics Once Callus Removing Balm 75ml 380200ml 950

Dermatonics Once Heel Balm 75ml 360200ml 850

415

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

EMOLLIENT AND BARRIER PREPARATIONS eachFlexitol 10% Urea Cream 150g 500

500g 1177

Flexitol 25% Urea Heel Balm 40g 27575g 380

200g 940500g 1475

Flexitol Hand Balm 75g 350

Flexitol Skin Balm 100g 450200g 820

GlucoRx Allpresan diabetic foam cream Basic 125ml 550300ml 975

GlucoRx Allpresan diabetic foam cream Intensive 125ml 550300ml 975

Hydromol Intensive Cream 30g 165100g 441

imuDERM emollient 500g pump 662

Ultraveen Intensive Balm 100ml 500

Ultraveen Itch Relief Cream 125ml 349500ml 1105

Ultraveen Moisturising Cream 125ml 339

Ultraveen Very Dry Skin Cream 125ml 499

Preparations for the treatment of Radiation Induced DermatitisFlamigel RT 100g 1349

250g 1950

R1 gel 30 x 6g 1820R2 lotion 168 x 1g 2415

Symptomatic Relief of ChickenpoxCare ViraSoothe gel 50g 334

75g 486

Appliance Size or Weight Basic Price p

416

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pEYE PRODUCTS each

Artificial Eye LubricantOpsil Standard 15ml 516

Thick 15ml 516Eye BathsSquat shape, with finger grips, rigid plastics smooth inner surface and base, rounded rim 26

Eye CompressClinitas Eye Compress (formerly Clinitas Hot Eye Compress) 1 749

Meibopatch 1 980

MGDRx EyeBag 1 1000

Optase Moist Heat Mask 1 553

Eye Drops - CarmelloseCarmellose 0.5% (Alissa Healthcare) (10ml bottle) 749

(30 x 0.4ml single dose unit) 575

Carmellose 0.5% (Medicom Healthcare) (10ml bottle) 749(30 x 0.4ml single dose unit) 575

Carmellose 1% (Medicom Healthcare) (30 x 0.4ml single dose unit) 300

Carmize 0.5% (10ml bottle) 749(30 x 0.4ml preservative free single dose unit) 575(90 x 0.4ml preservative free single dose unit) 1553

Carmize 1% (10ml bottle) 849(30 x 0.4ml single dose unit) 300(60 x 0.4ml single dose unit) 600

Cellusan 1% (10ml preservative free bottle) 480(30 x 0.4ml preservative free single dose unit) 300

Cellusan Light 0.5% (10ml preservative free bottle) 480(30 x 0.4ml preservative free single dose unit) 575

Evolve Carmellose 0.5% (10ml preservative free bottle) 499

Lumecare Advance Carmellose 0.5% (10ml bottle) 605

Lumecare Singles Carmellose 0.5% (30 x 0.4ml single dose unit) 336

Melophthal 0.5% (30 x 0.4ml single dose unit) 575Melophthal 1% (30 x 0.4ml single dose unit) 255

Ocu-Lube Carmellose 0.5% (10ml preservative free bottle) 749Ocu-Lube Carmellose 1% (10ml preservative free bottle) 749

Optho-Lique 0.5% (10ml bottle) 373Optho-Lique Forte 1% (10ml bottle) 397

Optive 0.5% (10ml bottle) 749Optive Plus 0.5% (10ml bottle) 749

PF Drops Carmellose 0.5% (10ml preservative free bottle) 749PF Drops Carmellose 1% (10ml preservative free bottle) 749

Tearvis 0.5% (10ml bottle) 749Tearvis 1% (10ml bottle) 849

VIZcellose 0.5% (10ml preservative free bottle) 288VIZcellose 1% (10ml preservative free bottle) 180

Xailin Fresh 0.5% (30 x 0.4ml single dose unit) 391

417

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pEYE PRODUCTS each

Eye Drops - DispensersComplEye 200

Opticare (for 2.5, 5, 10, 15 & 20ml bottles) 495

Opticare Arthro 5 (for 2.5 & 5ml bottles) 495Opticare Arthro 10 (for 10, 15, 20ml bottles) 495

Eye Drops - Hydroxypropyl GuarSystane (28 x 0.8ml single dose unit) 466

(10ml bottle) 466

Systane Gel Drops (10ml bottle) 749

Systane Balance (10ml bottle) 749

Systane Ultra (30 x 0.7ml single dose unit) 669(10ml bottle) 669

Tearmos (10ml bottle) 450

Eye Drops - HypromelloseEvolve Hypromellose 0.3% (10ml preservative free bottle) 198

Hydromoor (30 x 0.4ml single dose unit) 575

Hypromellose 0.3% (Alissa Healthcare) (10ml preservative free bottle) 575

Hypromellose 0.3% (Sai-Meds Ltd) (10ml bottle) 99Hypromellose 0.5% (Sai-Meds Ltd) (10ml bottle) 81

Hypromol (10ml preservative free bottle) 455

Lumecare Hypromellose 0.3% Eye Drops (10ml bottle) 169

Lumecare Singles Hypromellose 0.3% (30 x 0.5ml preservative free single dose unit) 465

Lumecare Tear Drops (10ml bottle) 79

Mandanol (10ml bottle) 133

Ocufresh (10ml bottle) 150

Ocu-Lube (10ml preservative free bottle) 575

PF Drops Hypromellose 0.3% (10ml preservative free bottle) 575

Teardew 0.3% (10ml bottle) 99Teardew 0.5% (10ml bottle) 81

Tear-Lac Hypromellose 0.3% (10ml preservative free bottle) 580

SoftDrops 0.3% Eye Drops (10ml bottle) 167(30 x 0.5ml preservative free single dose unit) 575

Xailin Hydrate (10ml bottle) 469

418

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

EYE PRODUCTS eachEye Drops - Polyvinyl AlcoholLiquifilm Tears 15ml 193

(30 x 0.4ml preservative free single dose unit) 535

Refresh Ophthalmic (30 x 0.4ml preservative free single dose unit) 225

Sno Tears 1.4% 10ml 106

Eye Drops - Sodium ChlorideAeon (10ml preservative free bottle) 2300

Hypersal 5% (10ml bottle) 2525

NaCl 5% (Essential Pharmaceuticals Ltd)

(20 x 0.45ml preservative free single dose unit) 1495

ODM5 (10ml preservative free bottle) 2400

PF Drops Sodium Chloride 5% (10ml preservative free bottle) 2520

SodiEye 5% (10ml preservative free bottle) 1598(20 x 0.5ml preservative free single dose unit) 1770

Sodium Chloride 5% (Alissa Healthcare) (10ml bottle) 2525

Xailin Wash (20 x 5ml preservative free single dose unit) 577

Eye Drops - Sodium HyaluronateAeon Protect (10ml bottle) 460

Aeon Repair (10ml preservative free bottle) 400

Artelac Rebalance (10ml bottle) 400

Artelac Splash (30 x 0.5ml single dose unit) 700(60 x 0.5ml single dose unit) 1120

Blink Intensive Tears (10ml bottle) 297(20 x 0.4ml single dose unit) 297

Clinitas (30 x 0.5ml single dose unit) 570

Clinitas Multi 0.4% (10ml preservative free bottle) 699

Evolve HA 0.2% (10ml preservative free bottle) 599

Hy-Opti 0.1% (10ml preservative free bottle) 850

Hy-Opti 0.2% (10ml preservative free bottle) 950

Hyabak (10ml preservative free bottle) 799

HydraMed 0.2% (10ml preservative free bottle) 560(30 x 0.5ml preservative free single dose unit) 560

419

11/2019 Part IXAAPPLIANCES

EYE PRODUCTS eachHylo-Care (10ml preservative free bottle) 1030

Hylo-Dual (10ml preservative free bottle) 995

Hylo-Forte 0.2% (10ml preservative free bottle) 950

Hylo-Fresh (10ml preservative free bottle) 495

Hylo-Tear 0.1% (10ml preservative free bottle) 850

Lubristil (20 x 0.3ml preservative free single dose unit) 499

Lubristil Gel (20 x 0.4ml preservative free single dose unit) 649

Ocu-Lube HA 0.1% (10ml preservative free bottle) 800

Ocusan (20 x 0.5ml single dose unit) 541

Oftaox (8ml bottle) 550

Optive Fusion (10ml bottle) 749

Oxyal (10ml bottle) 415

PF Drops Sodium Hyaluronate 0.15% (10ml preservative free bottle) 699PF Drops Sodium Hyaluronate 0.4% (10ml preservative free bottle) 699

Thealoz Duo (10ml preservative free bottle) 899

Thealoz Duo Gel (30 x 0.4g preservative free single dose unit) 687

Thealoz Duo UD (30 x 0.4ml preservative free single dose unit) 699

Vismed (20 x 0.3ml preservative free single dose unit) 514

Vismed Gel (20 x 0.45ml preservative free single dose unit) 603

Vismed Gel Multi (10ml preservative free bottle) 801

Vismed Multi (10ml preservative free bottle) 687

VisuXL (10ml preservative free bottle) 1030(30 x 0.33ml preservative free single dose unit) 1030

VIZhyal 0.1% (10ml preservative free bottle) 510VIZhyal 0.17% (10ml preservative free bottle) 570VIZhyal 0.4% (10ml preservative free bottle) 419

Xailin HA (10ml bottle) 726

Appliance Size or Weight Basic Price p

420

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pEYE PRODUCTS each

Eye Drops - Soybean OilEmustil (20 x 0.3ml preservative free single dose unit) 622

Eye Gel - CarbomerArtelac Nighttime Gel (10g tube) 296

Carbomer 0.2% (10g tube) 280(Blumont Healthcare Ltd)

Carbomer 0.2% (10g tube) 280(Medicom Healthcare)

Clinitas Carbomer Gel (10g tube) 149

Evolve Carbomer 980 (10g preservative free tube) 280

EyeGel 0.2% (10g tube) 280

Lumecare Carbomer 0.2% Eye Gel (10g tube) 153

Ocu-Lube Carbomer 0.2% Eye Gel (30 x 0.6ml preservative free single dose unit) 525

Xailin Gel (10g tube) 331

Eye Ointment - Paraffin BasedHydraMed night (5g preservative free tube) 232VitA-POS (5g preservative free tube) 275Xailin Night (5g preservative free tube) 254

Eye Ointment - Sodium ChlorideSodium Chloride 5% (Alissa Healthcare)(5g preservative free tube) 2250

Eye PadNo. 16 Eye Pad with Bandage BPC, sterile 71Eye ShadesPlastics, semi-rigid, non flam., perforation along top for ventilation, to fit either eye 33

Preparations for the care of eyelidsBlefarette 30 wipes 800

Blefarette Med 14 wipes 374

Blephaclean 20 wipes 534

Evolve eyelid wipes 20 sachets 399

FINGER COTS Seamless latex per boxbox of 10 36

FINGER STALLS eachPlastic Portia Clear - with adjustable elastic wristband Medium & Large 29

Portia Blue - with wrist tie Medium & Large 19

GAUZESAbsorbent Cotton Gauze, Type 13 Light BP 1988, sterile(Syn: Absorbent Gauze) 90cm x 1m 118Where no quantity is stated by the prescriber the 1m packet shouldbe supplied.

90cm x 3m 24790cm x 5m 384

90cm x 10m 736Absorbent Cotton Gauze, Type 13 Light BP 1988 not sterilised

25m roll 1686

(Syn. Absorbent Gauze)Absorbent Cotton and Viscose Ribbon Gauze BP 1988 Sterile

1.25cm x 5m 892.5cm x 5m 98

421

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

GAUZE PADS/SWABS - See SWABS each

GAUZE TISSUESGauze and Cotton Tissue BP 1988 500g 766(Absorbent Gauze Tissue; Gauze Tissue)Gauze and Cotton Tissue (Drug Tariff) 500g 560Specification 14To be supplied only where specifically ordered.

HEAD LICE DEVICEBug Buster Kit 501(Kit containing 3 Bug Buster combs, 1 Nit Buster comb, 1 wide tooth comb plus a protective cape). The Bug Buster Kit works in combination with ordinary shampoo and hair conditioner - no additionalmedicated products are required.

Chemists' Own Head Lice Spray 100ml spray 590

Full Marks Solution 100ml 347200ml 636300ml 867

Hedrin Once Liquid Gel 100ml 595250ml 1040

Hedrin Once Spray Gel 60ml spray 416100ml spray 683

Linicin Lotion 15 mins 100ml 549

Nitcomb-M2 243

Nitcomb-S1 130

Nitlotion 419

Nitty Gritty NitFree 567Steel Nit comb with Microgrooved Teeth

NYDA 50ml spray 800100ml spray (2 x 50ml) 1431

Portia Head Lice Comb 40

Vamousse 160ml aerosol 937

HERNIA SUPPORT GARMENTSOrione Hernia Brief (Male) Size 2 (76-80cm) 3650

Size 3 (81-85cm) 3650Size 4 (86-90cm) 3650Size 5 (91-95cm) 3650

Size 6 (96-100cm) 3650Size 7 (101-105cm) 3650Size 8 (106-110cm) 3650Size 9 (111-115cm) 3650

Size 10 (116-120cm) 3650

422

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT

A. Single Patient-Use Products(i) U100 Insulin Syringes with Needle - Sterile, Single-use or Single Patient-use

for the injection of U100 Insulin by diabetics in the community.Shall comply with the requirements of BS 7548:1992COLOUR CODING: The colour orange is used to distinguish U100 insulin syringes.

Note: When the size is not specified by the prescriber the 0.5ml syringe with needle should be supplied. If the patient is known to inject more than 50 units of insulin per injection the 1.0ml syringe shall besupplied.

Needles 8mm long shall have a range of needle diameters as follows: 0.33mm (29G) and 0.3mm (30G)Size pack of 100.3ml syringe and needle 1530.5ml syringe and needle 1481.0ml syringe and needle 147

Needles not less than 12mm long shall have a range of needle diameters as follows: 0.45mm (26G), 0.36mm (28G), 0.33mm (29G) and 0.3mm (30G)Size0.3ml syringe and needle 1110.5ml syringe and needle 1591.0ml syringe and needle 161

Safety Needles 8mm long shall have a range of needle diameters as follows:BD SafetyGlide insulin syringe pack of 100(Becton Dickinson)0.3ml syringe and needle (0.25mm/31G) 13340.5ml syringe and needle (0.3mm/30G) 1334

Kendall Magellan insulin safety syringe pack of 50(Covidien Commercial UK Ltd)0.3ml syringe and needle (0.3mm/30G) 6600.5ml syringe and needle (0.3mm/30G) 6601.0ml syringe and needle (0.3mm/30G) 660

Safety Needles not less than 12mm long shall have a range of needle diameters as follows:BD SafetyGlide insulin syringe pack of 100(Becton Dickinson)0.5ml syringe and needle (0.33mm/29G) 13341.0ml syringe and needle (0.33mm/29G) 1334

Kendall Magellan insulin safety syringe pack of 50(Covidien Commercial UK Ltd)0.3ml syringe and needle (0.33mm/29G) 6600.5ml syringe and needle (0.33mm/29G) 6601.0ml syringe and needle (0.33mm/29G) 660

(ii) Hypodermic Needles-Sterile, Single-useShall comply with the requirements of BS 5081: Part 2: 1987:0.4mm size needles shall comply with the requirements of the above BS and the needle tubeshall have the properties given in Annex D of BS 7548: 1992.The needles shall be of a length not less than 12mm and the following diameters may besupplied:Size0.5 mm (25G), 0.45mm (26G) and 0.4mm (27G) 100 305

423

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

HYPODERMIC EQUIPMENT B. Reusable Pens Cartridge Size Dial up unit dose each

For InsulinAllStar Pro

(Blue) 3.0ml 1 unit (1-80 units) 2500(Silver) 3.0ml 1 unit (1-80 units) 2500

(Sanofi)

Autopen Classic 3.0ml 1 unit (1-21 units) 16963.0ml 2 unit (2-42 units) 1696

Autopen 24 3.0ml 1 unit (1-21 units) 1671(Owen Mumford) 3.0ml 2 unit (2-42 units) 1671

HumaPen Luxura HD 3.0ml 0.5 unit (1-30 units) 2701

HumaPen Savvio(Blue) 3.0ml 1 unit (1-60 units) 2701(Graphite) 3.0ml 1 unit (1-60 units) 2701(Green) 3.0ml 1 unit (1-60 units) 2701(Pink) 3.0ml 1 unit (1-60 units) 2701(Red) 3.0ml 1 unit (1-60 units) 2701(Silver) 3.0ml 1 unit (1-60 units) 2701

(Lilly)

JuniorSTAR(Blue) 3.0ml 0.5 unit (1-30 units) 2600(Red) 3.0ml 0.5 unit (1-30 units) 2600(Silver) 3.0ml 0.5 unit (1-30 units) 2600

(Sanofi)

NovoPen 5(Blue) 3.0ml 1 unit (1-60 units) 2686(Silver) 3.0ml 1 unit (1-60 units) 2686

(Novo Nordisk)

NovoPen Echo(Blue) 3.0ml 0.5 unit (0.5-30 units) 2686(Red) 3.0ml 0.5 unit (0.5-30 units) 2686

(Novo Nordisk)

For ApomorphineD-mine Pen 3.0ml 10000(Ever Pharma UK Ltd)

424

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT

C. Needles for Pre-filled and Reusable Pen Injectors pack of 1004SURE 4mm/31 gauge 395

4mm/32 gauge 3955mm/31 gauge 3955mm/32 gauge 3956mm/31 gauge 3956mm/32 gauge 3958mm/31 gauge 395

BD AutoShield Duo 5mm/30 gauge 3041

BD Micro-Fine+ 5mm/31 gauge 9808mm/31 gauge 799

BD Micro-Fine Ultra 4mm/32 gauge 980pack of 90

BD Viva 4mm/32 gauge 3595mm/31 gauge 3596mm/31 gauge 3598mm/31 gauge 359

pack of 100CareFine 4mm/32 gauge 275

5mm/31 gauge 2756mm/31 gauge 2758mm/31 gauge 275

Dropsafe Safety Pen Needles 6mm/31 gauge 23008mm/31 gauge 2300

Glucoject 4mm/32 gauge 5955mm/31 gauge 5956mm/31 gauge 5958mm/31 gauge 595

10mm/29 gauge 59512mm/29 gauge 595

GlucoRx CarePoint 4mm/31 gauge 2755mm/31 gauge 2756mm/31 gauge 2758mm/31 gauge 275

10mm/29 gauge 27512mm/29 gauge 275

GlucoRx CarePoint Ultra 4mm/32 gauge 275

GlucoRx FinePoint 4mm/31 gauge 4505mm/31 gauge 4506mm/31 gauge 4508mm/31 gauge 450

10mm/29 gauge 45012mm/29 gauge 450

GlucoRx FinePoint Ultra 4mm/32 gauge 450

GlucoRx Safety Pen Needles 5mm/30 gauge 12958mm/30 gauge 1295

425

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT pack of 100

HaemoFine 4mm/32 gauge 5355mm/31 gauge 5355mm/32 gauge 5356mm/31 gauge 5356mm/32 gauge 5358mm/31 gauge 5358mm/32 gauge 535

10mm/29 gauge 53512mm/29 gauge 535

IME-FINE 6mm/31 gauge 11208mm/31 gauge 820

Insupen 4mm/32 gauge 5954mm/33 gauge 12695mm/31 gauge 5956mm/31 gauge 5956mm/32 gauge 5958mm/31 gauge 5958mm/32 gauge 595

12mm/29 gauge 595

Microdot Droplet 4mm/32 gauge 4956mm/31 gauge 4958mm/31 gauge 495

Microdot Dual Safety Pen Needles 4mm/31 gauge 2500

Microdot Max 4mm/32 gauge 2746mm/31 gauge 274

Microdot Max Safety Pen Needles 5mm/30 gauge 1289

Microdot Safety Pen Needles (formerly Microdot Verifine Safety Pen Needles)

5mm/30 gauge 1700

Mylife Clickfine 4mm/32 gauge 9116mm/31 gauge 9118mm/31 gauge 911

10mm/29 gauge 91112mm/29 gauge 911

Mylife Clickfine AutoProtect 5mm/31 gauge 19008mm/29 gauge 1900

Mylife Penfine Classic 4mm/32 gauge 3555mm/31 gauge 3556mm/32 gauge 3558mm/31 gauge 355

Nanopass 4mm/32.5 gauge 7606mm/32.5 gauge 7608mm/32.5 gauge 760

NeedleBay Fine Pen Needles 4mm/32 gauge 6955mm/31 gauge 6958mm/31 gauge 695

Neon Verifine 4mm/31 gauge 4505mm/31 gauge 4506mm/31 gauge 4508mm/31 gauge 450

10mm/30 gauge 45012mm/29 gauge 450

426

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

HYPODERMIC EQUIPMENT pack of 100Neon Verifine Safety 5mm/31 gauge 1489

8mm/30 gauge 1489

Neon Verifine Ultra 4mm/32 gauge 450

NovoFine 6mm/31 gauge 13028mm/30 gauge 924

NovoFine Autocover 8mm/30 gauge 2228

NovoTwist 5mm/32 gauge 1299

Omnican Fine 4mm/31 gauge 5954mm/32 gauge 3955mm/31 gauge 5955mm/32 gauge 3956mm/31 gauge 5956mm/32 gauge 3958mm/31 gauge 595

10mm/30 gauge 59512mm/29 gauge 595

PROFine 4mm/32gauge 3805mm/31gauge 3806mm/31gauge 3808mm/31gauge 380

12mm/29gauge 380

TriCare 4mm/32 gauge 3955mm/31 gauge 3956mm/31 gauge 3958mm/31 gauge 395

Unifine Pentips 4mm/32 gauge 11754mm/33 gauge 12505mm/31 gauge 12006mm/31 gauge 11758mm/31 gauge 825

12mm/29 gauge 825

Unifine Pentips Plus 4mm/32 gauge 5954mm/33 gauge 12505mm/31 gauge 5956mm/31 gauge 5958mm/31 gauge 595

12mm/29 gauge 595

427

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT each

D. Lancets - Sterile, Single-Use4SURE 0.32mm/30 gauge 100 290(Nipro Diagnostics UK Ltd) 0.195mm/33 gauge 100 290

Acti-Lance 2.0mm/17 gauge 100 549(HTL-STREFA S.A.) 200 1041

1.8mm/23 gauge 100 549200 988

1.5mm/28 gauge 100 549200 988

Advocate(Diabetes Care Technology Ltd)

0.31mm/30 gauge 100 295

AgaMatrix Ultra-Thin Lancets(AgaMatrix Europe Ltd)

0.35mm/28 gauge 200 5430.20mm/33 gauge 200 543

Apollo Pressure-Activated Safety Lancets (Apollo Medical Technologies Ltd)

1.8mm/26 gauge 100 5991.8mm/28 gauge 100 5992.4mm/21 gauge 100 5992.4mm/23 gauge 100 599

Apollo twist 0.36mm/28 gauge 200 450(Apollo Medical Technologies Ltd)

BGStar Ultra-Thin Lancets 0.20mm/33 gauge 100 365(Sanofi)

CareSens(Spirit Healthcare Ltd)

0.31mm/30 gauge 100 2950.36mm/28 gauge 100 295

CoaguChek Softclix 0.8mm/21 gauge 50 196(Roche Diagnostics Ltd)

Dario 0.31mm/30 gauge 100 345(LabStyle Innovations Ltd)

Droplet 0.2mm/33 gauge 100 219(HTL-STREFA S.A.) 0.31mm/30 gauge 100 219

0.36mm/28 gauge 100 219

FastClix(Roche Diabetes Care Ltd)

0.3mm/30 gauge 204 590

FreeStyle 0.5mm/28 gauge 200 764(Abbott Labs Ltd)

GlucoDock Lancets 0.35mm/28 gauge 100 360(Medisana Healthcare UK Ltd)

Glucoject Lancets PLUS(A. Menarini Diagnostics)

0.20mm/33 gauge 100 377200 550

Glucoject No-dol Lancets(A. Menarini Diagnostics)

0.315mm/30 gauge 100 371200 719

428

11/2019 Part IXAAPPLIANCES

HYPODERMIC EQUIPMENT eachGlucoRx Lancets(GlucoRx Ltd)

0.31mm/30 gauge 200 450

GlucoRx Safety lancets(GlucoRx Ltd)

1.6mm/30 gauge 100 5501.8mm/28 gauge 100 5501.8mm/26 gauge 100 5502.2mm/23 gauge 100 550

GlucoZen(GlucoZen Ltd)

0.36mm/28 gauge 200 499

Greenlan Lancets 0.35mm/28 gauge 100 300(Neon Diagnostics Ltd) 200 600

Kinetik Wellbeing 0.28mm/30 gauge 100 300(Kinetik Medical Devices Ltd) 200 525

IME-DC(Arctic Medical Ltd)

0.3mm/30 gauge 100 300

MediTouch 0.34mm/28 gauge 100 360(Medisana Healthcare (UK) Ltd)

Medlance Plus 2.0mm/0.8mm blade 100 539(HTL-STREFA S.A.) 200 1025

1.8mm/21 gauge 100 481200 957

2.4mm/21 gauge 100 481200 957

1.5mm/25 gauge 100 481200 957

1.2mm/30 gauge 100 481200 957

Mendor Discreet 0.32mm/28 gauge 100 361(SpringMed Solutions Ltd)

Microdot(Cambridge Sensors Ltd)

0.31mm/30 gauge 100 300200 600

Microdot HiFlow 2.2mm/21 gauge 200 950(Cambridge Sensors Ltd)

Microdot Lite 1.8mm/28 gauge 200 950(Cambridge Sensors Ltd)

Microdot Plus 0.20mm/33 gauge 100 219(Cambridge Sensors Ltd) 0.30mm/30 gauge 100 219

Microdot Professional 2.2mm/23 gauge 200 950(Cambridge Sensors Ltd)

Microdot SuperLite 1.8mm/30 gauge 200 950(Cambridge Sensors Ltd)

Microlet (Bayer Diagnostics)

0.5mm/28 gauge 100 390200 744

Milward Steri-Let 0.66mm/23 gauge 100 300(Entaco) 200 570

0.36mm/28 gauge 100 300200 570

Appliance Size or Weight Basic Price p

429

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT each

Mylife lancets (Ypsomed Ltd) 0.3mm/30 gauge 200 550

Mylife multicolour (Ypsomed Ltd) 0.3mm/30 gauge 200 550

Mylife Safety Comfort lancets 0.32mm/30 gauge 200 1200(Ypsomed Ltd)

Mylife Safety lancets 0.36mm/28 gauge 200 1200(Ypsomed Ltd)

Neon Verifine Safety Lancets 1.8mm/23 gauge 100 450(Neon Diagnostics Ltd) 1.8mm/28 gauge 100 450

1.8mm/30 gauge 100 4502.4mm/21 gauge 100 450

Omnican Lance Soft 0.30mm/30 gauge 200 545(B.Braun Medical UK Ltd)

OneTouch Comfort(LifeScan UK)

0.20mm/33 gauge 200 763

OneTouch Delica Plus (formerly OneTouch Delica)

0.32mm/30 gauge 200 585

(Lifescan UK)

OneTouch UltraSoft (LifeScan UK) 0.4mm/28 gauge 100 381

palmdoc Lancets 0.38mm/30 gauge 100 285(Palmdoc Ltd)

palmdoc iCare Advanced 0.38mm/30 gauge 100 285(Palmdoc Ltd) 200 445

Safe-T-Lance Plus 1.4mm/25 gauge 200 982(Smiths Medical International Ltd) 1.6mm/28 gauge 200 982

1.8mm/18 gauge 200 9001.8mm/21 gauge 200 982

Sarstedt Safety Lancets(Sarstedt Ltd)

1.6mm/28 gauge 200 10921.8mm//21 gauge 200 10921.8mm/18 gauge 200 1092

Softclix (Roche Diabetes Care Ltd) 0.4mm/28 gauge 200 806

Sterilance Lite II Safety Lancets 1.8mm/18 gauge 100 570(Spirit Healthcare Ltd) 1.8mm/21 gauge 100 570

1.8mm/26 gauge 100 5701.8mm/28 gauge 100 5702.4mm/21 gauge 100 5702.4mm/26 gauge 100 570

430

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pHYPODERMIC EQUIPMENT each

SylkFeel Ultra-Thin Lancets 0.20mm/33 gauge 100 365(Sanofi)

Thin Lancets (Abbott Labs Ltd) 0.36mm/28 gauge 200 788

TRUEplus Lancets 0.32mm/30 gauge 100 290(Nipro Diagnostics) 0.195mm/33 gauge 100 290

TRUEplus Lancets 0.36mm/28 gauge 100 290(Trividia Health UK Ltd)

Unilet ComforTouch (Owen Mumford Ltd)

0.375mm/28 gauge 100 378200 717

Unilet Eco (Owen Mumford Ltd) 0.375mm/28 gauge 100 304

Unistik 3 Comfort (Owen Mumford Ltd)

1.8mm/28 gauge 50 324100 631200 1234

Unistik 3 Extra (Owen Mumford Ltd)

2.0mm/21 gauge 100 631200 1234

Unistik 3 Gentle(Owen Mumford Ltd)

1.5mm/30 gauge 50 324100 600200 1200

Unistik 3 Normal (Owen Mumford Ltd)

1.8mm/23 gauge 50 324100 631200 1234

Unistik Touch 1.5mm/30 gauge 100 480(Owen Mumford Ltd) 1.5mm/30 gauge 200 960

1.8mm/28 gauge 100 4801.8mm/28 gauge 200 9602.0mm/23 gauge 100 4802.0mm/23 gauge 200 9602.0mm/21 gauge 100 4802.0mm/21 gauge 200 960

Vitrex Gentle (Vitrex Medical Ltd)

0.36mm/28 gauge 100 319200 613

Vitrex Soft (Vitrex Medical Ltd)

0.65mm/23 gauge 100 300200 570

VivaChek Lancets 0.37mm/28 gauge 100 299(JR Biomedical Ltd)

E. AccessoriesMySharps (pocket container) 75Needle Clipping (Chopping) Device 150Sharpsafe 1 litre 85

1.8 litre 1154 litre 2457 litre 3809 litre 460

SharpSafety 8 litre 449Sharpsguard 1 litre 87

5 litre 123

431

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

HYPODERMIC EQUIPMENT eachF. Needle-Free Insulin Delivery Systems

RInjex Starter Set 60500 14936(Set includes 1 needle-free delivery system, reset box, transporter, 9 disposable10ml vial adaptors, 165 ampoules)

RInjex 4 monthly Refill Pack 60504 2447(Pack contains 6 disposable 10ml vial adaptors, 100 ampoules)

RInjex Ampoule Pack 60501 1228(Contains 50 ampoules)

RInjex 10ml Vial Adaptor Pack 60502 1223(Contains 20 10ml vial adaptors)

InsuJet Starter Set 012003GBSP-012007GBSP

9000

(Set includes 1 InsuJet pen, 1 nozzle cap, 1 nozzle & piston, 1 vial (10ml) adaptor, 1 cartridge (3ml) adaptor, 1 cartridge cap removal key)

InsuJet Nozzle pack 017000UK205 1500(Pack contains 5 pieces)

InsuJet 3ml Cartridge Adaptor Pack 017100UK205 1200(Pack contains 5 pieces)

InsuJet 10ml Vial Adaptor Pack 017200UK0205 1200(Pack contains 5 pieces)

RPlease refer to manufacturer for availability

G. Subcutaneous Drug Delivery Accessories - SterileCleo 90 (Smiths Medical International Ltd) pack of 10

61cm tubing 6mm inserter/retractor 21-7220-24 690079cm tubing 6mm inserter/retractor 21-7221-24 6900107cm tubing 6mm inserter/retractor 21-7222-24 690061cm tubing 9mm inserter/retractor 21-7230-24 690079cm tubing 9mm inserter/retractor 21-7231-24 6900107cm tubing 9mm inserter/retractor 21-7232-24 6900

pack of 10D-mine Pump Reservoir (Ever Pharma UK Ltd) 7000

Neria (Unomedical Ltd) pack of 1060cm tubing 8mm/29 gauge 78-060-2938 476460cm tubing 10mm/29 gauge 78-060-2931 4764110cm tubing 6mm/27 gauge 78-110-2736 4765110cm tubing 6mm/29 gauge 78-110-2936 4765110cm tubing 8mm/27 gauge 78-110-2738 4764110cm tubing 8mm/29 gauge 78-110-2938 4764110cm tubing 10mm/27 gauge 78-110-2731 4764110cm tubing 10mm/29 gauge 78-110-2931 4764

Neria guard (Unomedical Ltd) pack of 1012cm tubing 6mm/27 gauge 744012-5226 690012cm tubing 9mm/27 gauge 744012-5229 690060cm tubing 6mm/27 gauge 744060-5226 690060cm tubing 9mm/27 gauge 744060-5229 6900110cm tubing 6mm/27 gauge 744110-5226 6900110cm tubing 9mm/27 gauge 744110-5229 6900

432

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

HYPODERMIC EQUIPMENTNeria Multi (Unomedical Ltd) pack of 10

100cm tubing 2 x 8mm/27 gauge 721060-2738 9356100cm tubing 2 x 10mm/27 gauge 721060-2731 9356100cm tubing 3 x 8mm/27 gauge 721060-3738 12825100cm tubing 3 x 10mm/27 gauge 721060-3731 12825100cm tubing 3 x 12mm/27 gauge 721060-3737 12825100cm tubing 4 x 8mm/27 gauge 721060-4738 16189100cm tubing 4 x 10mm/27 gauge 721060-4731 16189100cm tubing 4 x 12mm/27 gauge 721060-4737 16189

Neria Soft 90 (Unomedical Ltd) each60cm tubing 6mm/27 gauge 722060-5226 69060cm tubing 9mm/27 gauge 722060-5229 690110cm tubing 6mm/27 gauge 722110-5226 690110cm tubing 9mm/27 gauge 722110-5229 690

Neria Soft (Unomedical Ltd) each60cm tubing 13mm/24 gauge 79-060-2522 69760cm tubing 17mm/24 gauge 79-060-2622 69760cm tubing connecting tube 76-060-2652 222110cm tubing 13mm/24 gauge 79-110-2522 697110cm tubing 17mm/24 gauge 79-110-2622 697

N110cm tubing connecting tube 76-110-2652 222

Saflo 90 (Applied Medical Technology Ltd)100cm tubing 6mm/24 gauge SF90-106 690100cm tubing 9mm/24 gauge SF90-109 690

INDWELLING PLEURAL DRAINAGE SYSTEMS eachCatheterRocket IPC

Dressing Pack and 1000ml Pre-evacuated Bottle

R54411 3781

1000ml Pre-Evacuated Bottle and Valve Cap R54411-00-00 2873Dressing Pack and Bottle R54400 2565Drainage Bag and Dressing Pack R54401 1835Pre-Evacuated Bottle R54410 1795

Chest DrainRocket Ambulatory Chest Drain Bag R54564 1500

Nto be deleted 1 February 2020

Appliance Size or Weight Basic Price p

433

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pINHALATION SOLUTIONS

Sodium Choride 0.9% Solution - SterileHydra-Neb 20 x 2.5ml 1080Respi-Clear 20 x 2.5ml 517Salineb 20 x 2.5ml 520

Please note that the above products should not be mixed with any drugs

Sodium Chloride 3% Solution - SterileMucoClear 3% 20 x 4ml 1298

60 x 4ml 2700PulmoClear 3% 60 x 4ml 1894Resp-Ease 3% 60 x 4ml 2160

Sodium Chloride 6% Solution - SterileMucoClear 6% 20 x 4ml 1298

60 x 4ml 2700PulmoClear 6% 60 x 4ml 1894Resp-Ease 6% 60 x 4ml 2160

Sodium Chloride 7% Solution - SterileNebusal 7% 60 x 4ml 2700PulmoClear 7% 60 x 4ml 1894Respi-Clear 7% 60 x 4ml 1697Resp-Ease 7% 60 x 4ml 2160Salineb 7% 60 x 4ml 2060

INSPIRATORY MUSCLE TRAINING DEVICESPressure Threshold Device

POWERbreathe Medic 1790Threshold IMT 1150

Resistance Breathing DeviceUltrabreathe 1095

INSUFFLATORSCyclohaler (for use with Cyclocaps) 140

IRRIGATION SOLUTIONSOctenilin Bottle 350ml 460(Schulke & Mayr UK Ltd)

Prontosan Pod 24 x 40ml 1457(B Braun Medical Ltd) Bottle 350ml 490

Sodium Chloride 0.9% Irrigation Solution - SterileAlissa Pod 25 x 20ml 736

Bell, Sons & Co (Druggists) Ltd Pod 25 x 20ml 676

Clinipod Pod 25 x 20ml 480

Crest Medical Ltd Pod 25 x 20ml 499

Flowfusor Bellows Pack 1 x 120ml 171(Fresenius Kabi)

Fresenius Kabi Pour Bottle 1 x 1000ml 109

Generics UK Pod 25 x 20ml 550

Irriclens Aerosol 1 x 240ml 364(ConvaTec)

Irripod Pod 25 x 20ml 590(C D Medical Ltd)

434

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

IRRIGATION SOLUTIONS eachISO-POD Pod 25 x 20ml 495(St Georges Medical Ltd)

Normasol Sachet 25 x 25ml 653(Molnlycke Health Care) 10 x 100ml 806

Sal-e Pods (Ennogen Healthcare Ltd) Pod 25 x 20ml 480

Salipod Pod 25 x 20ml 499(Sai-Meds Ltd)

Stericlens Aerosol 100ml 207(C D Medical Ltd) 240ml 315

Steripod (Molnlycke Health Care) Pod 25 x 20ml 500

Sterowash (Steroplast Ltd) Pod 25 x 20ml 540

Water for Irrigation - SterileFresenius Kabi Pour Bottle 1 x 1000ml 97

Note:The exact number of containers (ie aerosols, bellows packs, bottles, cans, pods, pour bottles orsachets) ordered by the prescriber is to be dispensed.

JAW REHABILITATION DEVICE eachTheraBite Device, initial Bite

Pads and Accessories

Adult,Paediatric

22924

pack of 4Bite Pads Adult,

Edentulous,Paediatric

1070

LARYNGECTOMY PROTECTORS - See “Tracheostomy and Laryngectomy Protectors” on page 549.

LATEX FOAM, ADHESIVE, raised cotton backed each

Specification 19 22.5cm x 45cm7mm thick

2060

Cervical Collar - now listed in Part IXA

LEG ULCER WRAP4UlcerCare 28-35cm 1380

35-43cm 138043-51cm 138051-61cm 1380

61cm+ 1380

Appliance Size or Weight Basic Price p

435

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

LINT Absorbent Lint BPC 25g 98(Syn: Absorbent Cotton Lint; Cotton Lint; Plain Lint; WhiteLint)

100g 299

Where no quantity is stated on the prescription form the 25gpack is to be supplied.

500g 1259

LOW FRICTION PRODUCTS eachAderma Dermal Pad

Sacrum/Ankle Wrap 1759Heel Standard 1566

Extra Large 1785Sheet 10x10x0.3cm 448

10x10x1.2cm 134420x20x0.3cm 1789

Strip 50x2.5x0.3cm 56130x5.0x0.3cm 672

Dermisplus PreventPad 10x10x0.3cm 352

10x10x1.2cm 105520x20x0.3cm 140520x20x1.2cm 2064

Strip 30x5x0.3cm 52850x2.5x0.3cm 440

Sacrum/Ankle 1381Heel Standard 1230

Large 1401

price per pairDevon Positioning Products

Foot and Heel Protector 499Utility Pad 51x30x5cm 799

Dyna-TekHeel Boot 399Heel Pad 387

eachHeelPro

Foot Protector 2100

KerraPro eachHeel 1518Sacrum/Ankle 1709Sheet 10x10x0.3cm 430

10x10x1.2cm 1295Strip 50x2.5x0.3cm 539

30x5x0.3cm 647

ParafrictaBootee Velcro Closure XS, S, M, L, XL 3550

Slip On XS, S, M, L, XL 3550Undergarment Velcro Closure XS, S, M, L, XL 3550

Brief Slip On XS, S, M, L, XL 3550Boxer Slip On XS, S, M, L, XL, XXL 3550

PrevalonHeel Protector I Calf Circ 25-46cm 3860

III Calf Circ 25-46cm 4400Petite Calf Circ 13-25cm 4400

436

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LUBRICANT GELS eachAquagel Lubricating Jelly (sterile until opened) 5g sachet 19

42g tube 11082g tube 183

Cathejell Lidocain CJLL08501 8.5g 111CJLL12501 12.5g 116

Cathejell Lidocaine C CJL 08501 8.5g 123CJL 12501 12.5g 128

Cathejell Mono CJM 08501 8.5g 82CJM 12501 12.5g 87

Elite Lubricating Jelly 50ml pump 225

Hydro-Caine Gel HYD-006 6ml syringe 112HYD-011 11ml syringe 117

Konix T107.0005 6ml syringe 62T107.0007 12ml syringe 70

LINC Gel LMG6 6ml syringe 90LMG12 12ml syringe 99

LINC Pure Gel LMP6 6ml syringe 85LMP12 12ml syringe 90

Lube in a Tube 82g tube 159

OptiLube Sterile Lubricating Jelly 1120 5g sachet 151121 42g tube 1031122 82g tube 1701125 6ml syringe 921126 11ml syringe 98

OptiLube Active CHG Free 1167 6ml syringe 1101168 11ml syringe 115

OptiLube Active Sterile Lubricating Jelly 1160 6ml syringe 1111161 11ml syringe 116

Appliance Size or Weight Basic Price p

437

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSNB: Where a manufacturer’s custom made garments are prescribed, including specifically prescribed

additional options, the dispenser must ensure that full details are clearly endorsed on the FP10. Theadditional options for the base garments do not attract any additional prescription charges. One prescription charge is payable where one or more of the same base garment is supplied. More thanone prescription charge is payable if different base garments (including different compression of the samegarment type) are ordered.(See Part XVI sub-paragraph 12.13)

ActiLymphStyle Lengths Sizes

Class 1(18-21mmHg) Price per pairBelow Knee Closed Toe Standard S, M, L, XL, XXL 2944

Petite S, M, L, XL 2944Below Knee Open Toe Standard S, M, L, XL, XXL 2944Thigh Closed Toe with Wide Top Band Standard S, M, L, XL 5657Thigh Open Toe with Regular Top Band Standard S, M, L, XL, XXL 5546Thigh Closed Toe with Regular Top Band Standard S, M, L, XL 5536

Price per pieceArmsleeve no Top Band Standard S, M, L, XL 1559Armsleeve with Top Band Standard S, M, L, XL 2078

Long S, M, L, XL 2037Combined Armsleeve no Top Band Standard S, M, L 2828Combined Armsleeve with Top band Standard S, M, L 3348

Long S, M, L 3282

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Standard S, M, L, XL 2944

Petite S, M, L, XL 2944Below Knee Open Toe Standard S, M, L, XL, XXL 2944

Petite S, M, L, XL 2944Thigh Closed Toe with Wide Top Band Standard S, M, L, XL 5657Thigh Open Toe with Wide Top Band Standard S, M, L, XL 5657Thigh Open Toe with Regular Top Band Standard S, M, L, XL, XXL 5546Thigh Closed Toe with Regular Top Band Standard S, M, L, XL 5536

Price per pieceArmsleeve no Top Band Standard S, M, L, XL 1674Armsleeve with Top Band Standard S, M, L, XL 2194

Long S, M, L, XL 2151Combined Armsleeve no Top Band Standard S, M, L 2944Combined Armsleeve with Top Band Standard S, M, L 3464

Long S, M, L 3396

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe no Top Band Standard S, M, L, XL 3233Thigh Open Toe with Wide Top Band Standard S, M, L, XL 5888

438

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSActiLymph MTM Dura - Stiffer Fabric for Lower Extremities

Style Product CodeClass 2 (23-32mmHg) Price per pieceBelow Knee A-D AL-DURAC2-AD 3572Thigh Length A-G AL-DURAC2-AG 4406Thigh with Waist Attachment A-GT AL-DURAC2-AGT 62242 Legged Panty A-T (includes cycle style pants) AL-DURAC2-AT 16345

Class 3 (34-46mmHg)Below Knee A-D AL-DURAC3-AD 3789Thigh Length A-G AL-DURAC3-AG 4741Thigh with Waist Attachment A-GT AL-DURAC3-AGT 63872 Legged Panty A-T (includes cycle style pants) AL-DURAC3-AT 17320

NB: The above garments are available with optional extras. These are priced separately. See belowClosed Toe ALO-CT 107Oblique Toe ALO-OBT 6912 Ankle Pads ALO-PAD 2165Silicone Band ALO-BAND 801Slip Form ALO-FORM 704T Heel Ankle Seam ALO-SEAM 704Full Compression Body Part (in AT) ALO-FCBODY 2598

ActiLymph MTM Ease - Soft Fabric for Lower ExtremitiesStyle Product Code

Class 1 (18-21mmHg) Price per pieceBelow Knee A-D AL-EASEC1-AD 3426Thigh Length A-G AL-EASEC1-AG 4092Thigh with Waist Attachment A-GT AL-EASEC1-AGT 57912 Legged Panty A-T (includes cycle style pants) AL-EASEC1-AT 14808

Class 2 (23-32mmHg)Below Knee A-D AL-EASEC2-AD 3572Thigh Length A-G AL-EASEC2-AG 4406Thigh with Waist Attachment A-GT AL-EASEC2-AGT 62242 Legged Panty A-T (includes cycle style pants) AL-EASEC2-AT 16345

Class 3 (34-46mmHg)Below Knee A-D AL-EASEC3-AD 3789Thigh Length A-G AL-EASEC3-AG 4741Thigh with Waist Attachment A-GT AL-EASEC3-AGT 63872 Legged Panty A-T (includes cycle style pants) AL-EASEC3-AT 17320

NB: The above garments are available with optional extras. These are priced separately. See belowClosed Toe ALO-CT 107Oblique Toe ALO-OBT 691Silicone Band ALO-BAND 801Slip Form ALO-FORM 704T Heel Ankle Seam ALO-SEAM 704Full Compression Body Part (in A-T) ALO-FCBODY 2598(only available in Class 2 and 3)

439

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSAdore

Style Lengths SizesClass 1(18-21mmHg) Price per pairBelow Knee Standard, Petite S, M, L, XL 2685Thigh High Standard S, M, L, XL 5158

Class 2 (23-32mmHg) Price per pairBelow Knee Standard, Petite S, M, L, XL 2685Thigh High Standard S, M, L, XL 5158

AltivenStyle Lengths Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Regular I, II, III, IV, V, VI, VII 2220Below Knee Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2220Hold Up Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Tights Open Toe Short, Regular I, II, III, IV, V, VI, VII 4411Tights Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4411

Price per pieceThigh with Waist Attachment Open Toe Short, Regular I, II, III, IV, V, VI, VII 2289Thigh with Waist Attachment Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2289

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Regular I, II, III, IV, V, VI, VII 2220Below Knee Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2220Hold Up Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Tights Open Toe Short, Regular I, II, III, IV, V, VI, VII 4845Tights Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4845

Price per pieceThigh with Waist Attachment Open Toe Short, Regular I, II, III, IV, V, VI, VII 2289Thigh with Waist Attachment Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2289

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe Short, Regular I, II, III, IV, V, VI, VII 2220Below Knee Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2220Hold Up Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Open Toe Short, Regular I, II, III, IV, V, VI, VII 4268Hold Up (Extra Wide) Closed Toe Short, Regular I, II, III, IV, V, VI, VII 4268Tights Open Toe Short, Regular I, II, III, IV, V, VI, VII 5165Tights Closed Toe Short, Regular I, II, III, IV, V, VI, VII 5165

Price per pieceThigh with Waist Attachment Open Toe Short, Regular I, II, III, IV, V, VI, VII 2520Thigh with Waist Attachment Closed Toe Short, Regular I, II, III, IV, V, VI, VII 2520

440

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSAltiven Armsleeves

Style Lengths SizesClass 1(18-21mmHg) Price per pieceAxilla - Wrist Regular I, II, III, IV, V 1176Axilla - Wrist with Grip Top Regular I, II, III, IV, V 1569Axilla - Mitten Regular I, II, III, IV, V 2134Axilla - Mitten with Grip Top Regular I, II, III, IV, V 2525Axilla - Wrist with Elbow Pouch Regular I, II, III, IV, V 1176Axilla - Wrist with Grip Top and Elbow Pouch Regular I, II, III, IV, V 1569Axilla - Mitten with Elbow Pouch Regular I, II, III, IV, V 2134Axilla - Mitten with Grip Top and Elbow Pouch Regular I, II, III, IV, V 2525

Class 2 (23-32mmHg)Axilla - Wrist Regular I, II, III, IV, V 1263Axilla - Wrist with Grip Top Regular I, II, III, IV, V 1655Axilla - Mitten Regular I, II, III, IV, V 2220Axilla - Mitten with Grip Top Regular I, II, III, IV, V 2613Axilla - Wrist with Elbow Pouch Regular I, II, III, IV, V 1263Axilla - Wrist with Grip Top and Elbow Pouch Regular I, II, III, IV, V 1655Axilla - Mitten with Elbow Pouch Regular I, II, III, IV, V 2220Axilla - Mitten with Grip Top and Elbow Pouch Regular I, II, III, IV, V 2613

Altiven Made to MeasureStyle

Low Compression (14-18mmHg) Price per pairBelow Knee Open Toe 2816Below Knee Closed Toe 2816Thigh High Hold-up Open Toe 4871Thigh High Hold-up Closed Toe 4871Tights Open Toe 5196Tights Closed Toe 5196

Price per pieceThigh with Waist Attachment Open Toe 2840Thigh with Waist Attachment Closed Toe 2840

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe 2816Below Knee Closed Toe 2816Thigh High Hold-up Open Toe 4871Thigh High Hold-up Closed Toe 4871Tights Open Toe 5196Tights Closed Toe 5196

Price per pieceThigh with Waist Attachment Open Toe 2840Thigh with Waist Attachment Closed Toe 2840

441

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSClass 2 (23-32mmHg) Price per pairBelow Knee Open Toe 2816Below Knee Closed Toe 2816Thigh High Hold-up Open Toe 4871Thigh High Hold-up Closed Toe 4871Tights Open Toe 5196Tights Closed Toe 5196

Price per pieceThigh with Waist Attachment Open Toe 2840Thigh with Waist Attachment Closed Toe 2840

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe 3101Below Knee Closed Toe 3101Thigh High Hold-up Open Toe 5304Thigh High Hold-up Closed Toe 5304Tights Open Toe 5196Tights Closed Toe 5196

Price per pieceThigh with Waist Attachment Open Toe 3127Thigh with Waist Attachment Closed Toe 3127

Altiven Made to Measure Arm SleevesStyle

Low Compression (12-16mmHg) Price per pieceArmsleeve Axilla - Wrist with elbow pocket 1491Armsleeve Axilla - Wrist 1491Armsleeve Axilla - Wrist with Top Band and elbow pocket 1987Armsleeve Axilla - Wrist with Top Band 1987Armsleeve Axilla - Mitten with elbow pocket 2705Armsleeve Axilla - Mitten 2705Armsleeve Axilla - Mitten with Top Band and elbow pocket 3202Armsleeve Axilla - Mitten with Top Band 3202

Class 1 (18-21mmHg) Price per pieceArmsleeve Axilla - Wrist with elbow pocket 1491Armsleeve Axilla - Wrist 1491Armsleeve Axilla - Wrist with Top Band and elbow pocket 1987Armsleeve Axilla - Wrist with Top Band 1987Armsleeve Axilla - Mitten with elbow pocket 2705Armsleeve Axilla - Mitten 2705Armsleeve Axilla - Mitten with Top Band and elbow pocket 3202Armsleeve Axilla - Mitten with Top Band 3202

Class 2 (23-32mmHg) Price per pieceArmsleeve Axilla - Wrist with elbow pocket 1601Armsleeve Axilla - Wrist 1601Armsleeve Axilla - Wrist with Top Band and elbow pocket 2098Armsleeve Axilla - Wrist with Top Band 2098Armsleeve Axilla - Mitten with elbow pocket 2816Armsleeve Axilla - Mitten 2816Armsleeve Axilla - Mitten with Top Band and elbow pocket 3312Armsleeve Axilla - Mitten with Top Band 3312

442

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSCarolon

Style Lengths SizesClass 1 (14-17mmHg) Price per pairBelow Knee Short, Regular A-G 1995Cushion Sock Short, Regular A-E 1995

Class 2 (18-24mmHg) Price per pairBelow Knee Short, Regular A-G 1995Thigh with silicone band Closed Toe Short, Regular A-C 3995

Regular D-E 3995Thigh with silicone band Open Toe Regular A-E 3995

Comfy CareStyle Lengths Sizes

Class 1(18-21mmHg) Price per pairBelow Knee Closed Toe 38-44cm, 45-50cm S,M,L,XL 2100Below Knee Open Toe 38-44cm, 45-50cm S,M,L,XL 2100Thigh High Closed Toe 65-73cm, 74-82cm S,M,L,XL 2100

Class 2 (23-32mmHg)Below Knee Closed Toe 38-44cm, 45-50cm S,M,L,XL 2100Below Knee Open Toe 38-44cm, 45-50cm S,M,L,XL 2100Thigh High Closed Toe 65-73cm, 74-82cm S,M,L,XL 2100Thigh High Open Toe 65-73cm, 74-82cm S,M,L,XL 2100

Compressana Calypso 70Style SizesClass 1 (10-17mmHg) Price per pairBelow Knee Closed Toe I, II, III, IV, V, VI 1631KThigh High Closed Toe I, II, III, IV, V 2140KTights Closed Toe I, II, III, IV, V, VI 2650KTights Queensize Closed Toe III, VI 2650K

Compressana Calypso 140Style SizesClass 2 (15-18mmHg) Price per pairBelow Knee Closed Toe I, II, III, IV, V, VI 1631KThigh High Closed Toe I, II, III, IV, V 2140KTights Closed Toe I, II, III, IV, V, VI 2650KTights Queensize Closed Toe III, VI 2650K

443

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSEurostar - Custom made for the lower limbGarment Type CodesClass 2 (23-32mmHg) Price per pieceFoot with open toe ES2FP 4586KBelow Knee ES2AD 3567KThigh High with Grip Top ES2AG 5096KThigh High with Hip Attachment ES2H 5911KTights Open Toe ES2AT 14778KCapri pants ES2CP 12128KBermuda pants ES2BP 9784K

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive Border ES2 662KAnatomically Flexed Form ES7 612KBall Stub (Diagonal Foot) ES4 612KClosed Toe ES1 51KFly ES3 1019KInstep Stitching (T Heel) ES5 591KNon-Standard Colour ES8 0Overheight (Slipform) ES6 612K

Euroform - Custom made for the lower limbGarment Type CodesClass 3 (34-46mmHg) Price per pieceBelow Knee EF3AD 3873KThigh High with Grip Top EF3AG 5606KThigh High with Hip Attachment EF3H 6217KTights Open Toe EF3AT 16817KCapri pants EF3CP 12740KBermuda pants EF3BP 10273K

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive Border ES2 662KAnatomically Flexed Form ES7 612KBall Stub (Diagonal Foot) ES4 612KClosed Toe ES1 51KFly ES3 1019KInstep Stitching (T Heel) ES5 591KNon-Standard Colour ES8 0Overheight (Slipform) ES6 612K

444

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSEuroform Special - Custom made for the lower limbGarment Type CodesClass 4 (49-70mmHg) Price per piece Below Knee EF4AD 4179KThigh High with Grip Top EF4AG 6115KThigh High with Hip Attachment EF4H 6829KTights Open Toe EF4AT 18855KCapri pants EF4CP 14269KBermuda pants EF4BP 12230K

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive Border ES2 662KAnatomically Flexed Form ES7 612KBall Stub (Diagonal Foot) ES4 612KClosed Toe ES1 51KFly ES3 1019KInstep Stitching (T Heel) ES5 591KNon-Standard Colour ES8 0Overheight (Slipform) ES6 612K

Euroform Super - Custom made for the lower limbGarment Type CodesClass 4S (60-90mmHg) Price per pieceBelow Knee EF4SAD 4484KThigh High with Grip Top EF4SAG 6421KThigh High with Hip Attachment EF4SH 6829KTights Open Toe EF4SAT 18855KCapri pants EF4SCP 14269KBermuda pants EF4SBP 12230K

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive Border ES2 662KAnatomically Flexed Form ES7 612KBall Stub (Diagonal Foot) ES4 612KClosed Toe ES1 51KFly ES3 1019KInstep Stitching (T Heel) ES5 591KNon-Standard Colour ES8 0Overheight (Slipform) ES6 612K

445

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSGloria Med Armsleeve

Style Length SizesClass 1 (18-21mmHg) Price per pieceArmsleeve without Mitten with Grip Top Short, Long S, M, L, XL 2060Armsleeve with Shoulder Strap without Mitten Short, Long S, M, L, XL 2250Armsleeve Combined with Mitten with Grip Top Short, Long S, M, L, XL 3098Armsleeve Combined with Shoulder Strap with Mitten Short, Long S, M, L, XL 3098

Class 2 (23-32mmHg) Price per pieceArmsleeve without Mitten with Grip Top Short, Long S, M, L, XL 2060Armsleeve with Shoulder Strap without Mitten Short, Long S, M, L, XL 2250Armsleeve Combined with Mitten with Grip Top Short, Long S, M, L, XL 3098Armsleeve Combined with Shoulder Strap with Mitten Short, Long S, M, L, XL 3098

Gloria Med ComfortStyle Length Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Long XS, S, M, L, XL 2720Below Knee Open Toe Max Short, Long XS, S, M, L, XL 2720Below Knee Closed Toe Short, Long XS, S, M, L, XL 2720Below Knee Closed Toe Max Short, Long XS, S, M, L, XL 2720Thigh High Open Toe Short, Long XS, S, M, L, XL 4222Thigh High Open Toe Max Short, Long XS, S, M, L, XL 4222Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL 4532Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4532

Price per pieceThigh High Open Toe with Waist Attachment(Left or Right)

Short, Long XS, S, M, L, XL 2800

Thigh High Open Toe with Waist Attachment(Left or Right) Max

Short, Long XS, S, M, L, XL 2800

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Long XS, S, M, L, XL 2720Below Knee Open Toe Max Short, Long XS, S, M, L, XL 2720Below Knee Closed Toe Short, Long XS, S, M, L, XL 2720Below Knee Closed Toe Max Short, Long XS, S, M, L, XL 2720Thigh High Open Toe Short, Long XS, S, M, L, XL 4222Thigh High Open Toe Max Short, Long XS, S, M, L, XL 4222Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL 4532Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4532

Price per pieceThigh High Open Toe with Waist Attachment(Left or Right)

Short, Long XS, S, M, L, XL 2800

Thigh High Open Toe with Waist Attachment(Left or Right) Max

Short, Long XS, S, M, L, XL 2800

446

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSGloria Med Gentleman

Style Lengths SizesClass 1(18-21mmHg) Price per pairBelow Knee Closed Toe Short, Long S, M, L, XL 2796Below Knee Closed Toe Max Short, Long S, M, L, XL 2796

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Short, Long S, M, L, XL 2796Below Knee Closed Toe Max Short, Long S, M, L, XL 2796

Gloria Med MicroStyle Length Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Long XS, S, M, L, XL 2696Below Knee Open Toe Max Short, Long XS, S, M, L, XL 2696Below Knee Closed Toe Short, Long XS, S, M, L, XL 2696Below Knee Closed Toe Max Short, Long XS, S, M, L, XL 2696Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL 4845Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4845Thigh High Closed Toe with Silicone Border Short, Long XS, S, M, L, XL 4845Thigh High Closed Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4845Tights Closed Toe Short, Long XS, S, M, L, XL 5281Tights Closed Toe Max Short, Long XS, S, M, L, XL 5281

Price eachThigh High Open Toe with Waist Attachment (Left or Right)

Short, Long XS, S, M, L, XL 2998

Thigh High Open Toe with Waist Attachment (Left or Right) Max

Short, Long XS, S, M, L, XL 2998

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Long XS, S, M, L, XL 2696Below Knee Open Toe Max Short, Long XS, S, M, L, XL 2696Below Knee Closed Toe Short, Long XS, S, M, L, XL 2696Below Knee Closed Toe Max Short, Long XS, S, M, L, XL 2696Thigh High Open Toe with Silicone Border Short, Long XS, S, M, L, XL 4845Thigh High Open Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4845Thigh High Closed Toe with Silicone Border Short, Long XS, S, M, L, XL 4845Thigh High Closed Toe with Silicone Border Max Short, Long XS, S, M, L, XL 4845Tights Closed Toe Short, Long XS, S, M, L, XL 5281Tights Closed Toe Max Short, Long XS, S, M, L, XL 5281

Price eachThigh High Open Toe with Waist Attachment (Left or Right)

Short, Long XS, S, M, L, XL 2998

Thigh High Open Toe with Waist Attachment (Left or Right) Max

Short, Long XS, S, M, L, XL 2998

447

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSGloria Med Soft

Style Lengths SizesClass 1(18-21mmHg) Price per pairBelow Knee Closed Toe Short, Long M, L, XL 2715Below Knee Closed Toe Max Short, Long M, L, XL 2715Below Knee Open Toe Short, Long M, L, XL 2715Below Knee Open Toe Max Short, Long M, L, XL 2715

Price per pieceThigh High Open Toe with Waist Attachment Left Leg Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Left Leg Max Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Right Leg Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Right Leg Max Short, Long M, L, XL 2816

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Short, Long M, L, XL 2715Below Knee Closed Toe Max Short, Long M, L, XL 2715Below Knee Open Toe Short, Long M, L, XL 2715Below Knee Open Toe Max Short, Long M, L, XL 2715

Price per pieceThigh High Open Toe with Waist Attachment Left Leg Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Left Leg Max Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Right Leg Short, Long M, L, XL 2816Thigh High Open Toe with Waist Attachment Right Leg Max Short, Long M, L, XL 2816

Gloria Med StrongStyle Length Sizes

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Long M, L, XL, XXL 2724Below Knee Open Toe Max Short, Long M, L, XL 2724Thigh High Open Toe Short, Long M, L, XL, XXL 4943Thigh High Open Toe Max Short, Long M, L, XL 4943Thigh High Open Toe with Silicone Grip Top Short, Long M, L, XL, XXL 5218Thigh High Open Toe with Silicone Grip Top Max Short, Long M, L, XL 5218

Price eachThigh High Open Toe with Waist Attachment (Left or Right)

Short, Long M, L, XL, XXL 3520

Thigh High Open Toe with Waist Attachment (Left or Right) Max

Short, Long M, L, XL 3520

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe Short, Long M, L, XL, XXL 2915Below Knee Open Toe Max Short, Long M, L, XL 2915Thigh High Open Toe Short, Long M, L, XL, XXL 5072Thigh High Open Toe Max Short, Long M, L, XL 5072Thigh High Open Toe with Silicone Grip Top Short, Long M, L, XL, XXL 5323Thigh High Open Toe with Silicone Grip Top Max Short, Long M, L, XL 5323

Price eachThigh High Open Toe with Waist Attachment (Left or Right)

Short, Long M, L, XL, XXL 3770

Thigh High Open Toe with Waist Attachment (Left or Right) Max

Short, Long M, L, XL 3770

448

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Custom Goldpunkt - a firmer fabric for the lower limbGarment Type CodeClass 2 (23-32mmHg) Price per pieceToe Cap GP-12 4517Below Knee GP-22 3571Thigh High GP-32 4359Thigh High with Waist Attachment GP-42 5987Pantyhose GP-52 16580

Class 3 (34-46mmHg)Toe Cap GP-13 4727Below Knee GP-23 3886Thigh High GP-33 4727Thigh High with Waist Attachment GP-43 6407Pantyhose GP-53 17624

Class 4 (49-70mmHg)Below Knee GP-24 4097Thigh High GP-34 5305Thigh High with Waist Attachment GP-44 6985Pantyhose GP-54 19162

NB: The garments are available with additional options. These are priced separately. See belowSilicone Grip Top CM-90 7882 Malleolus pads CM-91 2101Zip CM-92 2206Velcro Fastening CM-93 2101Velcro Strap CM-94 315

Haddenham Custom Goldpunkt - a firmer fabric for the upper limbGarment Type CodeClass 2 (23-32mmHg) Price per pieceGlove no Fingers (gauntlet) GP-62 3729Glove with Fingers GP-65 6302Armsleeve - Wrist to Axilla GP-72 3834Armsleeve - with Glove no Fingers GP-75 7090Armsleeve - with Glove and Fingers GP-78 9664Class 3 (34-46mmHg)Glove no Fingers (gauntlet) GP-63 3834Glove with Fingers GP-66 6460Armsleeve - Wrist to Axilla GP-73 3886Armsleeve - with Glove no Fingers GP-76 7143Armsleeve - with Glove and Fingers GP-79 9769

NB: The above garments are available with additional options. These are priced separately. See belowSilicone Grip Top CM-80 420Zip CM-81 2206Shoulder Cap CM-83 1313

449

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Custom Pertex - a softer fabric for the lower limbGarment Type CodeClass 1 (18-21mmHg) Price per pieceToe Cap PX-11 4307Below Knee PX-21 3309Thigh High PX-31 3939Thigh High with Waist Attachment PX-41 6145Pantyhose PX-51 14338Class 2 (23-32mmHg)Toe Cap PX-12 4412Below Knee PX-22 3519Thigh High PX-32 4307Thigh High with Waist Attachment PX-42 5987Pantyhose PX-52 15861Class 3 (34-46mmHg)Toe Cap PX-13 4622Below Knee PX-23 3834Thigh High PX-33 4622Thigh High with Waist Attachment PX-43 6302Pantyhose PX-53 16806

NB: The garments are available with additional options. These are priced separately. See belowSilicone Grip Top CM-90 7882 Malleolus pads CM-91 2101Zip CM-92 2206Velcro Fastening CM-93 2101Velcro Strap CM-94 315

Haddenham Custom Pertex - a softer fabric for the upper limbGarment Type CodeClass 1 (18-21mmHg) Price per pieceGlove no Fingers (gauntlet) PX-61 3519Glove with Fingers PX-64 5462Armsleeve - Wrist to Axilla PX-71 3466Armsleeve - with Glove no Fingers PX-74 6828Armsleeve - with Glove and Fingers PX-77 8771Class 2 (23-32mmHg)Glove no Fingers (gauntlet) PX-62 3676Glove with Fingers PX-65 6197Armsleeve - Wrist to Axilla PX-72 3571Armsleeve - with Glove no Fingers PX-75 6933Armsleeve - with Glove and Fingers PX-78 9454Class 3 (34-46mmHg)Glove no Fingers (gauntlet) PX-63 3834Glove with Fingers PX-66 6407Armsleeve - Wrist to Axilla PX-73 3676Armsleeve - with Glove no Fingers PX-76 7038Armsleeve - with Glove and Fingers PX-79 9664

NB: The above garments are available with additional options. These are priced separately. See belowSilicone Grip Top CM-80 420Zip CM-81 2206Shoulder Cap CM-83 1313

450

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Doktus

Style Length SizesClass 2 (23-32mmHg) Price per pieceArmsleeve Regular, Long XS, S, M, L 1526Armsleeve Extra Wide Regular, Long XS, S, M, L 1631Armsleeve with Mitten Regular, Long XS, S, M, L 2736Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2842Armsleeve with Grip Top Regular, Long XS, S, M, L 1841Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1947Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 3052Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3157

Class 3 (34-46mmHg)Armsleeve Regular, Long XS, S, M, L 1526Armsleeve Extra Wide Regular, Long XS, S, M, L 1631Armsleeve with Mitten Regular, Long XS, S, M, L 2736Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2842Armsleeve with Grip Top Regular, Long XS, S, M, L 1841Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1947Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 3052Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3157

Haddenham Doktus MTOStyle Code

Class 2 (23-32mmHg) Price per pairBelow Knee DK-20 2771Below Knee with Grip Top DK-22 3387Thigh High DK-21 4429Thigh High with Grip Top DK-23 5045Thigh High with Waistband DK-24 5082

Price per pieceThigh High with Waist Attachment (Left Leg) DK-25 3080Thigh High with Waist Attachment (Right Leg) DK-26 3080Tights DK-27 4969One Legged Tights (Left Leg) DK-29 4969One Legged Tights (Right Leg) DK-28 4969Class 3 (34-46mmHg) Price per pairBelow Knee DK-30 2771Below Knee with Grip Top DK-32 3387Thigh High DK-31 4429Thigh High with Grip Top DK-33 5045Thigh High with Waistband DK-34 5082

Price per pieceThigh High with Waist Attachment (Left Leg) DK-35 3080Thigh High with Waist Attachment (Right Leg) DK-36 3080Tights DK-37 4969One Legged Tights (Left Leg) DK-39 4969One Legged Tights (Right Leg) DK-38 4969

451

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSNB: The garments are available with additional options. See belowLong leg DK-LLShort leg DK-SLLong foot DK-LFShort foot DK-SFOpen toe DK-OTExtra wide DK-EWNon-standard colour DK-NSC3cm strong plain grip top DK-G15cm strong plain grip top DK-G25cm strong lace grip top DK-G35cm fine lace grip top DK-G4Open front panty DK-OFLoose fit to panty DK-RFNo gusset panty DK-NGFootless tights DK-NFHalf compression panty DK-HCFull compression panty DK-FCFly for men DK-FY

Haddenham EasyWrapStyle Length Sizes

Light (20-30mmHg) Price per pieceArm (Right, Left) Short, Regular, Long S, M, L, XL 13657Hand (Right, Left) XS, S, M, L 2832Foot Regular, Long XS, S, M, L, XL 3642Leg Regular, Tall XS, S, M, L, XL 12999Thigh Short, Regular, Tall XS, S, M, L, XL 12999

Strong (30-40mmHg)Foot Regular, Long XS, S, M, L, XL 3642Leg Regular, Tall XS, S, M, L, XL 12999Thigh Short, Regular, Tall XS, S, M, L, XL 12999

Haddenham MicrofineStyle Sizes

(20-36mmHg) Price per pieceGlove with compressive fingers XS, S, M, L 4294Toe Cap with compressive toes XS, S, M, L, XL 2736

452

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Star Cotton - For lower extremities

Style Length SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Thigh High with Grip Top Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5367Thigh High with Grip Top Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5367Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5157

Class 2 (23-32mmHg)Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Thigh High with Grip Top Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5367Thigh High with Grip Top Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5367Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5051Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII 5367

Haddenham Star Cotton - For upper extremitiesStyle Length Sizes

Class 1 (18-21mmHg) Price per pieceArmsleeve Regular, Long XS, S, M, L 1526Armsleeve Extra Wide Regular, Long XS, S, M, L 1631Armsleeve with Mitten Regular, Long XS, S, M, L 2736Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2841Armsleeve with Grip Top Regular, Long XS, S, M, L 1842Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1947Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 3052Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3157

Class 2 (23-32mmHg)Armsleeve Regular, Long XS, S, M, L 1526Armsleeve Extra Wide Regular, Long XS, S, M, L 1631Armsleeve with Mitten Regular, Long XS, S, M, L 2736Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2841Armsleeve with Grip Top Regular, Long XS, S, M, L 1842Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1947Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 3052Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3157

453

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Star Cotton MTO

Style CodeClass 1 (18-21mmHg) Price per pairBelow Knee SC-10 2771Below Knee with Grip Top SC-12 3387Thigh High SC-11 4429Thigh High with Grip Top SC-13 5045Thigh High with Waistband SC-14 5082

Price per pieceThigh High with Waist Attachment (Left Leg) SC-15 3080Thigh High with Waist Attachment (Right Leg) SC-16 3080Tights SC-17 4969One Legged Tights (Left Leg) SC-19 4969One Legged Tights (Right Leg) SC-18 4969

Class 2 (23-32mmHg) Price per pairBelow Knee SC-20 2771Below Knee with Grip Top SC-22 3387Thigh High SC-21 4429Thigh High with Grip Top SC-23 5045Thigh High with Waistband SC-24 5082

Price per pieceThigh High with Waist Attachment (Left Leg) SC-25 3080Thigh High with Waist Attachment (Right Leg) SC-26 3080Tights SC-27 4969One Legged Tights (Left Leg) SC-29 4969One Legged Tights (Right Leg) SC-28 4969

NB: The garments are available with additional options. See belowLong leg SC-LLShort leg SC-SLLong foot SC-LFShort foot SC-SFOpen toe SC-OTExtra wide SC-EWNon-standard colour SC-NSC3cm strong plain grip top SC-G15cm strong plain grip top SC-G25cm strong lace grip top SC-G35cm fine lace grip top SC-G4Open front panty SC-OFLoose fit to panty SC-RFNo gusset panty SC-NGFootless tights SC-NFHalf compression panty SC-HCFull compression panty SC-FCFly for men SC-FY

454

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Venex

Style Length SizesClass 1 (18-21mmHg) Price per pieceArmsleeve Regular, Long XS, S, M, L 1420Armsleeve Extra Wide Regular, Long XS, S, M, L 1526Armsleeve with Mitten Regular, Long XS, S, M, L 2631Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2736Armsleeve with Grip Top Regular, Long XS, S, M, L 1737Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1841Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 2947Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3052

Class 2 (23-32mmHg)Armsleeve Regular, Long XS, S, M, L 1420Armsleeve Extra Wide Regular, Long XS, S, M, L 1526Armsleeve with Mitten Regular, Long XS, S, M, L 2631Armsleeve with Mitten Extra Wide Regular, Long XS, S, M, L 2736Armsleeve with Grip Top Regular, Long XS, S, M, L 1737Armsleeve with Grip Top Extra Wide Regular, Long XS, S, M, L 1841Armsleeve with Grip Top with Mitten Regular, Long XS, S, M, L 2947Armsleeve with Grip Top with Mitten Extra Wide Regular, Long XS, S, M, L 3052

Haddenham Venex MicrolightStyle Length Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Regular II,III,IV,V,VI,VII 2724Below Knee Closed Toe Short, Regular II,III,IV,V,VI,VII 2724Below Knee Extra Wide Open Toe Short, Regular II,III,IV,V,VI,VII 3039Below Knee Extra Wide Closed Toe Short, Regular II,III,IV,V,VI,VII 3039Thigh High with Grip Top Open Toe Short, Regular II,III,IV,V,VI,VII 5030Thigh High with Grip Top Closed Toe Short, Regular II,III,IV,V,VI,VII 5030Thigh High with Grip Top Extra Wide Open Toe Short, Regular II,III,IV,V,VI,VII 5344Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II,III,IV,V,VI,VII 5344Tights Open/Closed Toe Short, Regular II,III,IV,V,VI,VII 5030Tights Extra Wide Open/Closed Toe Short, Regular II,III,IV,V,VI,VII 5344

Class 2 (23-32mmHg)Below Knee Open Toe Short, Regular II,III,IV,V,VI,VII 2724Below Knee Closed Toe Short, Regular II,III,IV,V,VI,VII 2724Below Knee Extra Wide Open Toe Short, Regular II,III,IV,V,VI,VII 3039Below Knee Extra Wide Closed Toe Short, Regular II,III,IV,V,VI,VII 3039Thigh High with Grip Top Open Toe Short, Regular II,III,IV,V,VI,VII 5030Thigh High with Grip Top Closed Toe Short, Regular II,III,IV,V,VI,VII 5030Thigh High with Grip Top Extra Wide Open Toe Short, Regular II,III,IV,V,VI,VII 5344Thigh High with Grip Top Extra Wide Closed Toe Short, Regular II,III,IV,V,VI,VII 5344Tights Open/Closed Toe Short, Regular II,III,IV,V,VI,VII 5030Tights Extra Wide Open/Closed Toe Short, Regular II,III,IV,V,VI,VII 5344

455

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Veni

Style Length SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Thigh High with Grip Top Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5157

Class 2 (23-32mmHg)Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Thigh High with Grip Top Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5157

Class 3 (34-46mmHg)Below Knee Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 2736Below Knee Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Below Knee Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 3052Thigh High with Grip Top Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Thigh High with Grip Top Extra Wide Open Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Thigh High with Grip Top Extra Wide Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367Tights Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5052Tights Extra Wide Open/Closed Toe Short, Regular, Long I,II,III,IV,V,VI,VII,VIII 5367

456

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSHaddenham Veni MTO

Style CodeClass 1 (18-21mmHg) Price per pairBelow Knee VE-10 2794Below Knee with Grip Top VE-12 3415Thigh High VE-11 4465Thigh High with Grip Top VE-13 5086Thigh High with Waistband VE-14 5124

Price per pieceThigh High with Waist Attachment (Left Leg) VE-15 3105Thigh High with Waist Attachment (Right Leg) VE-16 3105Tights VE-17 5010One Legged Tights (Left Leg) VE-19 5010One Legged Tights (Right Leg) VE-18 5010

Class 2 (23-32mmHg) Price per pairBelow Knee VE-20 2794Below Knee with Grip Top VE-22 3415Thigh High VE-21 4465Thigh High with Grip Top VE-23 5086Thigh High with Waistband VE-24 5124

Price per pieceThigh High with Waist Attachment (Left Leg) VE-25 3105Thigh High with Waist Attachment (Right Leg) VE-26 3105Tights VE-27 5010One Legged Tights (Left Leg) VE-29 5010One Legged Tights (Right Leg) VE-28 5010

Class 3 (34-46mmHg) Price per pairBelow Knee VE-30 2794Below Knee with Grip Top VE-32 3415Thigh High VE-31 4465Thigh High with Grip Top VE-33 5086Thigh High with Waistband VE-34 5124

Price per pieceThigh High with Waist Attachment (Left Leg) VE-35 3105Thigh High with Waist Attachment (Right Leg) VE-36 3105Tights VE-37 5010One Legged Tights (Left Leg) VE-39 5010One Legged Tights (Right Leg) VE-38 5010

NB: The garments are available with additional options. See belowLong leg VE-LLShort leg VE-SLLong foot VE-LFShort foot VE-SFOpen toe VE-OTExtra wide VE-EWNon-standard colour VE-NSC3cm strong plain grip top VE-G15cm strong plain grip top VE-G25cm strong lace grip top VE-G35cm fine lace grip top VE-G4Open front panty VE-OFLoose fit to panty VE-RFNo gusset panty VE-NGFootless tights VE-NFHalf compression panty VE-HCFull compression panty VE-FCFly for men VE-FY

457

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobskin Alleviant

Style Length SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 800Below Knee Closed Toe Short, Normal I, II, III, IV, V, VI, VII 800Thigh Length Silicone Top Open Toe Short, Normal I, II, III, IV, V, VI, VII 1700Thigh Length Silicone Top Closed Toe Short, Normal I, II, III, IV, V, VI, VII 1700Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 2500Panty Hose Closed Toe Short, Normal I, II, III, IV, V, VI, VII 2500

Price per pieceArmsleeve Short, Normal I, II, III, IV, V, VI, VII 900Armsleeve with Glove and Dotted Silicone Topband Long Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Glove and Dotted Silicone Topband Short Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Hand Short, Normal I, II, III, IV, V, VI, VII 1500Glove with Long Finger I, II, III, IV, V, VI, VII 2500Glove with Short Finger I, II, III, IV, V, VI, VII 2500

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 900Below Knee Closed Toe Short, Normal I, II, III, IV, V, VI, VII 900Thigh Length Silicone Top Open Toe Short, Normal I, II, III, IV, V, VI, VII 1800Thigh Length Silicone Top Closed Toe Short, Normal I, II, III, IV, V, VI, VII 1800Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 2800Panty Hose Closed Toe Short, Normal I, II, III, IV, V, VI, VII 2800

Price per pieceArmsleeve Short, Normal I, II, III, IV, V, VI, VII 1350Armsleeve with Shouldercap and Belt Short, Normal I, II, III, IV, V, VI, VII 1300Armsleeve with Silicone Topband Short, Normal I, II, III, IV, V, VI, VII 1400Armsleeve with Glove and Dotted Silicone Topband Long Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Glove and Dotted Silicone Topband Short Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Hand Short, Normal I, II, III, IV, V, VI, VII 1500Armsleeve with Hand, Shouldercap and Belt Short, Normal I, II, III, IV, V, VI, VII 1700Armsleeve with Hand and Silicone Topband Short, Normal I, II, III, IV, V, VI, VII 1650Glove with Long Finger I, II, III, IV, V, VI, VII 2500Glove with Short Finger I, II, III, IV, V, VI, VII 2500

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 900Thigh Length Silicone Top Open Toe Short, Normal I, II, III, IV, V, VI, VII 1900Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 2500

Price per pieceArmsleeve Short, Normal I, II, III, IV, V, VI, VII 900Armsleeve with Shouldercap and Belt Short, Normal I, II, III, IV, V, VI, VII 1500Armsleeve with Silicone Topband Short, Normal I, II, III, IV, V, VI, VII 1400Armsleeve with Glove and Dotted Silicone Topband Long Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Glove and Dotted Silicone Topband Short Finger

I, II, III, IV, V, VI, VII 2800

Armsleeve with Hand Short, Normal I, II, III, IV, V, VI, VII 1400Armsleeve with Hand, Shouldercap and Belt Short, Normal I, II, III, IV, V, VI, VII 1800Armsleeve with Hand and Silicone Topband Short, Normal I, II, III, IV, V, VI, VII 1700Glove with Long Finger I, II, III, IV, V, VI, VII 2500Glove with Short Finger I, II, III, IV, V, VI, VII 2500

458

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobskin Alleviant Plus

Style Length SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 1400Below Knee Closed Toe Short, Normal I, II, III, IV, V, VI, VII 1400Thigh Length Silicone Top Open Toe Short, Normal I, II, III, IV, V, VI, VII 2500Thigh Length Silicone Top Closed Toe Short, Normal I, II, III, IV, V, VI, VII 2500Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 4000Panty Hose Closed Toe Short, Normal I, II, III, IV, V, VI, VII 4000

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 1400Below Knee Closed Toe Short, Normal I, II, III, IV, V, VI, VII 1400Thigh Length Silicone Top Open Toe Short, Normal I, II, III, IV, V, VI, VII 2700Thigh Length Silicone Top Closed Toe Short, Normal I, II, III, IV, V, VI, VII 2700Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 4100Panty Hose Closed Toe Short, Normal I, II, III, IV, V, VI, VII 4100

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe Short, Normal I, II, III, IV, V, VI, VII 1500Below Knee Closed Toe Short, Normal I, II, III, IV, V, VI, VII 1500Thigh Length Silicone Top Open Toe Short I, II, III, IV, V, VI, VII 2800Thigh Length Silicone Top Closed Toe Normal I, II, III, IV, V, VI, VII 2800Panty Hose Open Toe Short, Normal I, II, III, IV, V, VI, VII 4200

Jobskin MTM Premium - For Upper ExtremitiesGarment Type CodeClass 1 (18-21mmHg) Price per pieceArmsleeve FP0501-1 3130Armsleeve and Gauntlet FP0502-1 5350Armsleeve and Shoulder Flap FP0503-1 4450Armsleeve, Gauntlet & Shoulder Flap FP0504-1 6470Body Bandage Vest FP0525-1 6550Detachable Gauntlet FP0505-1 3120Glove to Wrist FP0535-1 5900Glove to Axilla FP0533-1 8430

Class 2 (23-32mmHg)Armsleeve FP0501-2 3130Armsleeve and Gauntlet FP0502-2 5350Armsleeve and Shoulder Flap FP0503-2 4450Armsleeve, Gauntlet & Shoulder Flap FP0504-2 6470Body Bandage Vest FP0525-2 6700Detachable Gauntlet FP0505-2 3120Glove to Wrist FP0535-2 5900Glove to Axilla FP0533-2 8430

Class 3 (34-46mmHg)Armsleeve FP0501-3 3130Armsleeve and Gauntlet FP0502-3 5350Armsleeve and Shoulder Flap FP0503-3 4450Armsleeve, Gauntlet & Shoulder Flap FP0504-3 6470Detachable Gauntlet FP0505-3 3120Glove to Wrist FP0535-3 5900Glove to Axilla FP0533-3 8430

NB: The garments are available with additional options. These are priced separately. See belowLining Inside Elbow FP1167 590Lining Full Elbow FP1168 690Pockets FP0027 1130Reinforced Palm FP0021 1350ZIP Less Than 8"(20cm) FP1164 1120ZIP 8"(20cm) and longer FP1165 2020

459

11/2019 Part IXAAPPLIANCES

LYMPHOEDEMA GARMENTSJobskin MTM Premium - For Lower ExtremitiesGarment Type CodeClass 1 (18-21mmHg) Price per pieceBelow Knee FP0101-1 3300Foot Glove FP0538-1 4200Foot Glove to Knee FP0539-1 7000Thigh Length FP0201-1 3800Thigh with Waist Attachment One Leg FP0035-1 5360Thigh with Waist Attachment Two Legs FP0036-1 10070Waist Height One Leg Open Crotch FP1103-1 11640Waist Height Two Legs Open Crotch FP1102-1 14000Waist Height Two Legs Closed Crotch FP1101-1 14000Waist Height One Leg Panty Open FP1112-1 14000Waist Height One Leg Panty Closed FP1113-1 14000Panty Girdle Closed Crotch FP1119-1 8040Panty Girdle Below knee Open Crotch FP1110-1 10830Panty Girdle Below Knee Closed Crotch FP1111-1 10830

Class 2 (23-32mmHg)Below Knee FP0101-2 3300Foot Glove FP0538-2 4200Foot Glove to Knee FP0539-2 7000Thigh Length FP0201-2 3800Thigh with Waist Attachment One Leg FP0035-2 5360Thigh with Waist Attachment Two Legs FP0036-2 10070Waist Height One Leg Open Crotch FP1103-2 11640Waist Height Two Legs Open Crotch FP1102-2 14000Waist Height Two Legs Closed Crotch FP1101-2 14000Waist Height One Leg Panty Open FP1112-2 14000Waist Height One Leg Panty Closed FP1113-2 14000Panty Girdle Closed Crotch FP1119-2 8040Panty Girdle Below Knee Open Crotch FP1110-2 10830Panty Girdle Below Knee Closed Crotch FP1111-2 10830

Class 3 (34-46mmHg)Below Knee FP0101-3 3300Foot Glove FP0538-3 4200Foot Glove to Knee FP0539-3 7000Thigh Length FP0201-3 3800Thigh with Waist Attachment One Leg FP0035-3 5360Thigh with Waist Attachment Two Legs FP0036-3 10070Waist Height One Leg Open Crotch FP1103-3 11640Waist Height Two Legs Open Crotch FP1102-3 14000Waist Height Two Legs Closed Crotch FP1101-3 14000Waist Height One Leg Panty Open FP1112-3 14000Waist Height One Leg Panty Closed FP1113-3 14000Panty Girdle Closed Crotch FP1119-3 8040Panty Girdle Below Knee Open Crotch FP1110-3 10830Panty Girdle Below Knee Closed Crotch FP1111-3 10830

460

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSClass 4 (49-59mmHg) Price per pieceBelow Knee FP0101-4 3300Foot Glove FP0538-4 4200Foot Glove to Knee FP0539-4 7000Thigh Length FP0201-4 3800Thigh with Waist Attachment One Leg FP0035-4 5360Thigh with Waist Attachment Two Legs FP0036-4 10070Waist Height One Leg Open Crotch FP1103-4 11640Waist Height Two Legs Open Crotch FP1102-4 14000Waist Height Two Legs Closed Crotch FP1101-4 14000Waist Height One Leg Panty Open FP1112-4 14000Waist Height One Leg Panty Closed FP1113-4 14000Panty Girdle Closed Crotch FP1119-4 8040Panty Girdle Below Knee Open Crotch FP1110-4 10830Panty Girdle Below Knee Closed Crotch FP1111-4 10830

NB: The garments are available with additional options. These are priced separately. See belowReinforced Heels FP1187 1230Extra Heel Reinforcement FP0020 1070Reinforced Knee FP1186 1280Behind Knee Lining FP0040 870Reduced Pressure Panel FP1161 1960Double Abdominal Panel FP1175 5410Uplift Panel for Abdomen FP1176 4350Pockets FP0027 1130Self Enclosed Toe FP1159 100Soft Enclosed Toe FP1160 100ZIP Less Than 8"(20cm) FP1164 1120ZIP 8"(20cm) and longer FP1165 2020

461

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst Bella LiteGarment Type Length SizesClass 1(15-20mmHg) Price per pieceArmsleeve with Knitted Band Regular, Long S, M, L 1453Armsleeve with Silicone Band Regular, Long S, M, L 1937Combined Armsleeve with Knitted Band Regular, Long S, M, L 2728Combined Armsleeve with Silicone Band Regular, Long S, M, L 3001Gauntlet with Thumb S, M, L 1345

Class 2 (20-30mmHg)Armsleeve with Knitted Band Regular, Long S, M, L 1560Armsleeve with Silicone Band Regular, Long S, M, L 2045Combined Armsleeve with Knitted Band Regular, Long S, M, L 2840Combined Armsleeve with Silicone Band Regular, Long S, M, L 3105Gauntlet with Thumb S, M, L 1399

Jobst BellavarStyle Lengths Sizes

Class 2 (23-32mmHg) Price per pairKnee High, Open Toe Petite, Regular I, II, III, IV, V, VI 2764Thigh High, Open Toe, with Knitted Band Standard I, II, III, IV, V, VI 5252Thigh High, Open Toe, with Silicone Band Standard I, II, III, IV, V, VI 5252Tights, Open Toe Petite, Regular I, II, III, IV, V, VI 4813

Class 3 (34-46mmHg) Price per pairKnee High, Open Toe Petite, Regular I, II, III, IV, V, VI 3035Thigh High, Open Toe with Knitted Band Standard I, II, III, IV, V, VI 5744Thigh high, Open Toe with Silicone Band Standard I, II, III, IV, V, VI 5744Tights, Open Toe Petite, Regular I, II, III, IV, V, VI 5204

462

11/2019 Part IXAAPPLIANCES

LYMPHOEDEMA GARMENTSJobst Elvarex Custom Fit - For lower extremitiesGarment Type CodeClass 1(18-21mmHg) Price per pieceFoot Cap with Toes L1-01-02 4493Knee High L1-01-04 3505Knee High Footless L1-01-24 2925Thigh High L1-01-06 4080Thigh High Footless L1-01-16 3405Bermuda L1-01-26 9126Body Bandage L1-01-08 7207Capri Tights L1-01-28 12119

Class 2 (23-32mmHg)Foot Cap with Toes L2-02-02 4678Knee High L2-02-04 3670Knee High Footless L2-02-24 3063Thigh High L2-02-06 4507Thigh High Footless L2-02-16 3761Bermuda L2-02-26 9650Body Bandage L2-02-08 7972Capri Tights L2-02-28 12222

Class 3 (34-46mmHg)Foot Cap with Toes L3-03-02 4876Knee High L3-03-04 3998Knee High Footless L3-03-24 3336Thigh High L3-03-06 4856Thigh High Footless L3-03-16 4052Bermuda L3-03-26 10096Body Bandage L3-03-08 8292Capri Tights L3-03-28 12838

Class 3 forte (34-46mmHg)Knee High L3-04-04 4113Knee High Footless L3-04-24 3573Thigh High L3-04-06 5069Thigh High Footless L3-04-16 4230Bermuda L3-04-26 10353Body Bandage L3-04-08 8344

Class 4 (49-70mmHg)Knee High L4-05-04 4282Knee High Footless L4-05-24 3432Thigh High L4-05-06 5477Thigh High Footless L4-05-16 4570Bermuda L4-05-26 10756Body Bandage L4-05-08 8679

Class 4 Super (60-90mmHg)Knee High L5-06-04 4481Knee High Footless L5-06-24 3739Thigh High L5-06-06 5651Thigh High Footless L5-06-16 4715Bermuda L5-06-26 10927Body Bandage L5-06-08 8959

463

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSNB: The above garments are available with additional options. These are priced separately. See below2 Ankle pads L-A002 2202Adjustable Waistband L-A013 951Closed Toe L-A001 11Fly for Men L-A012 1174Knee Functional Zone L-A015 700Leg extension L-A007 626Non-standard colour L-A008 327Silicone band L-A004 816Slipform L-A009 687SoftFit L-A016 802T-Heel L-A010 687Waist attachment with garter belt L-A005 1747Zipper L-A003 2263

Jobst Elvarex Custom Fit - For upper extremitiesGarment Type CodeClass 1(15-21mmHg) Price per pieceGauntlet to Wrist U1-01-01 3688Gauntlet to Elbow U1-01-03 4182Armsleeve to Axilla with Gauntlet U1-01-05 7166Armsleeve from Wrist to Axilla U1-01-07 3316

Class 2 (23-32mmHg)Gauntlet to Wrist U2-02-01 3862Soft Gauntlet to Wrist see Jobst Elvarex Soft Custom Fit - For upper extremities, Soft Seamless Gauntlet to

WristGauntlet to Elbow U2-02-03 4213Armsleeve to Axilla with Gauntlet U2-02-05 7292Armsleeve from Wrist to Axilla U2-02-07 3954

Class 2 forte (23-32mmHg)Gauntlet to Wrist U3-03-01 3941Gauntlet to Elbow U3-03-03 4316Armsleeve to Axilla with Gauntlet U3-03-05 7344Armsleeve from Wrist to Axilla U3-03-07 3994

NB: The above garments are available with additional options. These are priced separately. See belowZipper U-A001 2263Silicone band U-A002 484Shoulder cap U-A003 1393Non-Standard colour U-A007 327Elbow Functional Zone U-A008 600SoftFit U-A018 4751 finger (Class 1 15-21mmHg) U1-A009 4121 finger (Class 2 23-32mmHg) U2-A011 5321 finger (Class 2 forte 23-32mmHg) U3-A013 548

464

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst Elvarex Plus Custom Fit - For lower extremitiesGarment Type CodeClass 1(18-21mmHg) Price per pieceFoot Cap with Toes L1-12-02 4451

Class 2 (23-32mmHg)Foot Cap with Toes L2-13-02 4634

NB: The above garments are available with additional options. These are priced separately. See belowNon-standard colour L-A008P 324

Jobst Elvarex Plus Custom Fit - For upper extremitiesGarment Type CodeClass 1(15-21mmHg) Price per pieceGauntlet to Wrist U1-12-01 3653Gauntlet to Elbow U1-12-03 4143

Class 2 (23-32mmHg)Gauntlet to Wrist U2-13-01 3826Gauntlet to Elbow U2-13-03 4174

NB: The above garments are available with additional options. These are priced separately. See belowNon-Standard colour U-A007P 3241 finger (Class 1 15-21mmHg) U1-A016 4081 finger (Class 2 23-32mmHg) U2-A017 527

465

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst Elvarex Soft Custom Fit - For lower extremitiesGarment Type CodeClass 1 (18-21mmHg) Price per pieceSoft Seamless Foot Cap with Toes L1-11-02 4368Soft Knee High L1-10-04 3424Soft Thigh High L1-10-06 3986Soft Thigh High Footless L1-10-16 3440Soft Bermuda L1-10-26 9221Soft Body Bandage L1-10-08 7040Soft Capri tights L1-10-28 11952Class 2 (23-32mmHg) Price per pieceSoft Seamless Foot Cap with Toes L2-07-02 4627Soft Knee High L2-08-04 3638Soft Thigh High L2-08-06 4466Soft Thigh High Footless L2-08-16 3800Soft Bermuda L2-08-26 9649Soft Body Bandage L2-08-08 7901Soft Capri tights L2-08-28 12054Class 3 (34-46mmHg) Price per pieceSoft Knee High L3-09-04 3887Soft Thigh High L3-09-06 4719Soft Thigh High Footless L3-09-16 4043Soft Bermuda L3-09-26 10150Soft Body Bandage L3-08-08 8061Soft Capri tights L3-09-28 12656NB:The above garments are available with additional options. These are priced separately. See belowAdjustable Waistband L-A013S 945Closed Toe Soft L-A001S 11Non-Standard colour L-A008S 317Slipform Soft L-A011S 681Silicone Band Soft L-A004S 809SoftFit L-A016S 803Waist attachment with garter belt L-A005S 1741T-Heel L-A010S 665

Jobst Elvarex Soft Custom Fit - For upper extremitiesGarment Type CodeClass 1 (15-21mmHg) Price per pieceSoft Armsleeve from Wrist to Axilla U1-10-07 3286Soft Seamless Gauntlet to Wrist U1-11-01 3585Soft Seamless Gauntlet to Elbow U1-11-03 4065Class 2 (23-32mmHg) Price per pieceSoft Armsleeve from Wrist to Axilla U2-08-07 3919Soft Seamless Gauntlet to Wrist AC1-WF-WT 3820Soft Seamless Gauntlet to Elbow U2-07-03 4167

NB:The above garments are available with additional options. These are priced separately. See belowNon-Standard colour U-A007S 317Silicone Band Soft U-A002S 480SoftFit U-A018S 4761 Soft Seamless Finger (Class 1 15-21mmHg ) U1-A015 4001 Soft Seamless Finger (Class 2 23-32mmHg) U2-A014 526

466

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst Farrow

Style SizesClass 1 (15-20mmHg) Price per pieceGlove I, II, III, IV, V, VI, VII, VIII 4294Toe Cap XS, S, M, L 2736

Class 2 (20-30mmHg) Price per pieceGlove I, II, III, IV, V, VI, VII, VIII 4294Toe Cap XS, S, M, L 2736

Jobst FarrowWrapStyle Length Sizes

Lite (20-30mmHg) Price per pieceArmpiece (Right, Left) Short, Regular, Long S, M, L 13865Gauntlet XS, S, M, L 2823Footpiece Regular, Long XS, S, M, L, XL 3737Legpiece Regular, Long XS, S, M, L, XL 13348Thighpiece Short, Regular, Long XS, S, M, L, XL 13348

Classic (30-40mmHg) Price per pieceFootpiece Regular, Long XS, S, M, L, XL 3737Legpiece Regular, Long XS, S, M, L, XL 13348Thighpiece Short, Regular, Long XS, S, M, L, XL 13348

Strong (30-40mmHg) Price per pieceFootpiece Regular, Long XS, S, M, L, XL 3704Legpiece Regular, Long XS, S, M, L, XL 13230Thighpiece Short, Regular, Long XS, S, M, L, XL 13230

Jobst for Men AmbitionStyle Lengths Sizes

Class 1 (18-21mmHg) Price per pairKnee High Closed Toe Regular, Long 1, 2, 3, 4, 5, 6 2851

Class 2 (23-32mmHg) Price per pairKnee High Closed Toe Regular, Long 1, 2, 3, 4, 5, 6 2851

Jobst for Men ExploreStyle Lengths Sizes

Class 1 (18-21mmHg) Price per pairKnee High Closed Toe Regular, Long 1, 2, 3, 4, 5, 6 2851

Class 2 (23-32mmHg) Price per pairKnee High Closed Toe Regular, Long 1, 2, 3, 4, 5, 6 2851

467

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst Opaque

Style Lengths SizesClass 1 (18-21mmHg) Price per pairKnee High Closed Toe Petite, Regular I, II, III, IV, V, VI 2764Knee High Open Toe Petite, Regular I, II, III, IV, V, VI 2764Thigh High Closed Toe Standard Width with Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Standard Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Standard Width with Sensitive Band (formerly Thigh High Closed Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Wide Width with Dotted Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Closed Toe Wide Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Closed Toe Wide Width with Sensitive Band (formerly Thigh High Closed Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Standard Width with Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Standard Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Standard Width with Sensitive Band (formerly Thigh High Open Toe Standard Width with Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Wide Width with Dotted Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Wide Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Wide Width with Sensitive Band (formerly Thigh High Open Toe Wide Width with Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Tights Closed Toe Petite, Regular I, II, III, IV, V, VI 4813Tights Open Toe Petite, Regular I, II, III, IV, V, VI 4813

Class 2 (23-32mmHg) Price per pairKnee High Closed Toe Petite, Regular I, II, III, IV, V, VI 2764Knee High Open Toe Petite, Regular I, II, III, IV, V, VI 2764Thigh High Closed Toe Standard Width with Sensitive Band (formerly Thigh High Closed Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Standard Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Standard Width with Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Wide Width with Sensitive Band (formerly Thigh High Closed Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Closed Toe Wide Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Closed Toe Wide Width with Dotted Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Standard Width with Sensitive Band (formerly Thigh High Open Toe Standard Width with Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Standard Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Wide Width with Sensitive Band (formerly Thigh High Open Toe Wide Width with Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Wide Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Thigh High Open Toe Standard Width with Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5252

Thigh High Open Toe Wide Width with Dotted Silicone Band Petite, Regular I, II, III, IV, V, VI 5252Tights Closed Toe Petite, Regular I, II, III, IV, V, VI 4813Tights Open Toe Petite, Regular I, II, III, IV, V, VI 4813

468

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJobst UltraSheer

Style Lengths SizesClass 1 (18-21mmHg) Price per pairKnee High Closed Toe Petite, Regular I, II, III, IV, V, VI 2729Thigh High Closed Toe Standard Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Standard Width with Sensitive Band (formerly Thigh High Closed Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Wide Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Wide Width with Sensitive Band (formerly Thigh High Closed Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Standard Width with Sensitive Band (formerly Thigh High Open Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Wide Width with Sensitive Band (formerly Thigh High Open Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Tights Closed Toe Petite, Regular I, II, III, IV, V, VI 4752

Class 2 (23-32mmHg) Price per pairKnee High Closed Toe Petite, Regular I, II, III, IV, V, VI 2729Knee High Open Toe Petite, Regular I, II, III, IV, V, VI 2729Thigh High Closed Toe Standard Width with Decorative Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Standard Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Standard Width with Sensitive Band (formerly Thigh High Closed Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Wide Width with Decorative Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Wide Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Closed Toe Wide Width with Sensitive Band (formerly Thigh High Closed Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Standard Width with Decorative Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Standard Width with Lace Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Standard Width with Sensitive Band (formerly Thigh High Open Toe Standard Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Wide Width with Decorative Dotted Silicone Band

Petite, Regular I, II, III, IV, V, VI 5243

Thigh High Open Toe Wide Width with Lace Silicone Band Petite, Regular I, II, III, IV, V, VI 5243Thigh High Open Toe Wide Width with Sensitive Band (formerly Thigh High Open Toe Wide Width with Soft Silicone Band)

Petite, Regular I, II, III, IV, V, VI 5243

Tights Closed Toe Petite, Regular I, II, III, IV, V, VI 4752Tights Open Toe Petite, Regular I, II, III, IV, V, VI 4752

469

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuxta

Style Sizes(20-30mmHg) Price per pieceGlove 2, 3, 4, 5, 6 4294Toe Cap 2, 3, 4, 5, 6 2736

Juxta-Fit Price per pieceStyle Lengths Sizes

Armsleeve (Right, Left) Standard, Long 1, 2, 3, 4, 5, 6 17961Hand Wrap (Right, Left) XS, S, M, L, XL 2474Lower Legging 28cm S, M, L, XL, XXL 13861

36cm S, M, L, XL, XXL 13861Lower Legging Extra Wide Calf 28cm M, L, XL 13432

36cm M, L, XL 13432Ankle Foot Wrap, Interlocking S, M, L 3881Ankle Foot Wrap, Closed Heel S, M, L 3881

Juxta-Fit Essentials Price per pieceStyle Lengths Sizes

Upper Leg with Knee Piece (Right, Left) 45cm XS, S, M, L, XL 1466955cm XS, S, M, L, XL 14669

Price per pairFull Leg Liner Sock 1794

Juzo Adjustable Compression System Light (formerly Juzo Adjustable Compression System)Style Lengths Sizes

Price per pieceHand Normal XS, S, M, L 2877Sleeve (Left or Right) Normal, Long XS, S, M, L, XL 13870Foot Normal, Long XS, S, M, L, XL 3596Calf (Left or Right) Normal, Long XS, S, M, L, XL 8733Knee Normal XS, S, M, L, XL 4623Thigh (Left or Right) Normal, Long XS, S, M, L, XL 9761Midline Band 3500Extender Strap 1798

Price per pairLiner 1772

Juzo AdventureStyle Lengths Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2800Below Knee Closed Toe with Silicone Top Band

Extra Short, Short, Standard I, II, III, IV, V, VI 3000

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2800Below Knee Closed Toe with Silicone Top Band

Extra Short, Short, Standard I, II, III, IV, V, VI 3000

Juzo Adventure MTMStyle Codes

Class 1 (18-21mmHg) Price per pieceBelow Knee Closed Toe JLA1AD 2700Below Knee Closed Toe with Silicone Border JLA1ADS 3082

Class 2 (23-32mmHg) Price per pieceBelow Knee Closed Toe JLA2AD 2700Below Knee Closed Toe with Silicone Border JLA2ADS 3082

NB: The above garments are available with additional options. These are priced separately. See belowNon-standard colour JLEA50 320

470

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo ClassicGarment Type Sizes CodeClass 1(18-21mmHg) Price per pieceArmsleeve wrist to axilla i,ii,iii,iv,v,vi CG2301 1557Armsleeve wrist to axilla max i,ii,iii,iv,v,vi CG2301-Max 1557Armsleeve wrist to axilla with Silicone Border i,ii,iii,iv,v,vi CG2301-Sil 1921Armsleeve wrist to axilla with Silicone Border max i,ii,iii,iv,v,vi CG2301-Max-Sil 1921Gauntlet 2, 3 ,4 ,5 HDA2301 1298Glove ii, iii, iv, v HFA2301 4153Seamless Toe Cap (Left or Right) ii, iii, iv, v 2721

Class 2 (23-32mmHg)Armsleeve wrist to axilla i,ii,iii,iv,v,vi CG2302 1557Armsleeve wrist to axilla max i,ii,iii,iv,v,vi CG2302-Max 1557Armsleeve wrist to axilla with Silicone Border i,ii,iii,iv,v,vi CG2302-Sil 1921Armsleeve wrist to axilla with Silicone Border max i,ii,iii,iv,v,vi CG2302-Max-Sil 1921Gauntlet 2, 3 ,4 ,5 HDA2302 1298Glove ii,iii,iv,v HFA2302 4042

Juzo Compression WrapStyle Lengths Sizes

Price per pieceFoot Universal S, M, L 3596Calf Regular, Long S, M, L, XL, XXL 8733Calf Max Regular, Long S, M, L, XL, XXL 8733

Juzo Dual Stretch Style Lengths Sizes

(20-30mmHg) Price per pairBelow Knee Open Toe Short, Regular I, II, III, IV, V 2591K

Juzo Dynamic Style Lengths Sizes

Class 1 (18-21mmHg) Price per pieceArmsleeve I, II, III, IV, V, VI 1635Armsleeve max I, II, III, IV, V, VI 1635Armsleeve with Silicone Border I, II, III, IV, V, VI 2141Armsleeve with Silicone Border max I, II, III, IV, V, VI 2141Combined Armsleeve with Silicone Border I, II, III, IV, V, VI 3381Combined Armsleeve with Silicone Border max I, II, III, IV, V, VI 3381Armsleeve with Shoulder and Strap I, II, III, IV, V, VI 2336Armsleeve with Shoulder and Strap max I, II, III, IV, V, VI 2336

Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2722Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2722Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4659Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4659Thigh High Open Toe with Wide Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4659Thigh High Closed Toe with Wide Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 4659

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5035Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5035

Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

471

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSClass 2 (23-32mmHg) Price per pieceArmsleeve I, II, III, IV, V, VI 1635Armsleeve max I, II, III, IV, V, VI 1635Armsleeve with Silicone Border I, II, III, IV, V, VI 2141Armsleeve with Silicone Border max I, II, III, IV, V, VI 2141Combined Armsleeve with Silicone Border I, II, III, IV, V, VI 3381Combined Armsleeve with Silicone Border max I, II, III, IV, V, VI 3381Armsleeve with Shoulder and Strap I, II, III, IV, V, VI 2336Armsleeve with Shoulder and Strap max I, II, III, IV, V, VI 2336

Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2722Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2722Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4659Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4659Thigh High Open Toe with Wide SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4659

Thigh High Closed Toe with Wide Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 4659

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5035Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5035

Extra Short, Short, Standard Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe Short, Standard I, II, III, IV, V, VI 2615Below Knee Closed Toe Short, Standard I, II, III, IV, V, VI 2615Below Knee Open Toe with Silicone Border Short, Standard I, II, III, IV, V, VI 2722Below Knee Closed Toe with Silicone Border Short, Standard I, II, III, IV, V, VI 2722Thigh High Open Toe Short, Standard I, II, III, IV, V, VI 4029Thigh High Closed Toe Short, Standard I, II, III, IV, V, VI 4029Thigh High Open Toe with Silicone Border Short, Standard I, II, III, IV, V, VI 4973Thigh High Closed Toe with Silicone Border Short, Standard I, II, III, IV, V, VI 4973Thigh High Open Toe with Wide SiliconeBorder

Short, Standard I, II, III, IV, V, VI 4973

Thigh High Closed Toe with Wide Silicone Border

Short, Standard I, II, III, IV, V, VI 4973

Tights Open Toe Short, Standard I, II, III, IV, V, VI 5035Tights Closed Toe Short, Standard I, II, III, IV, V, VI 5035

Short, Standard Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Right Leg

Short, Standard I, II, III, IV, V, VI 2877

Thigh High Open Toe with Waist Attachment Left Leg

Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Left Leg

Short, Standard I, II, III, IV, V, VI 2877

472

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Dynamic - Custom made for the lower limbGarment TypeClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 2752Below Knee Closed Toe 2752Below Knee Open Toe with Silicone Top Band 3141Below Knee Closed Toe with Silicone Top Band 3141Thigh High Open Toe 3764Thigh High Closed Toe 3764Thigh High Open Toe with Silicone Top Band 4153Thigh High Closed Toe with Silicone Top Band 4153One-legged Panty Open Toe 9967One-legged Panty Closed Toe 9967Thigh High Open Toe with Waist Attachment Right Leg 5523Thigh High Closed Toe with Waist Attachment Right Leg 5523Thigh High Open Toe with Waist Attachment Left Leg 5523Thigh High Closed Toe with Waist Attachment Left Leg 5523Tights Open Toe 11005Tights Closed Toe 11005

Class 2 (23-32mmHg) Price per pieceBelow Knee Open Toe 2803Below Knee Closed Toe 2803Below Knee Open Toe with Silicone Top Band 3192Below Knee Closed Toe with Silicone Top Band 3192Thigh High Open Toe 3868Thigh High Closed Toe 3868Thigh High Open Toe with Silicone Top Band 4257Thigh High Closed Toe with Silicone Top Band 4257One-legged Panty Open Toe 10175One-legged Panty Closed Toe 10175Thigh High Open Toe with Waist Attachment Right Leg 5627Thigh High Closed Toe with Waist Attachment Right Leg 5627Thigh High Open Toe with Waist Attachment Left Leg 5627Thigh High Closed Toe with Waist Attachment Left Leg 5627Tights Open Toe 11213Tights Closed Toe 11213

Class 3 (34-46mmHg) Price per pieceBelow Knee Open Toe 2907Below Knee Closed Toe 2907Below Knee Open Toe with Silicone Top Band 3296Below Knee Closed Toe with Silicone Top Band 3296Thigh High Open Toe 3971Thigh High Closed Toe 3971Thigh High Open Toe with Silicone Top Band 4360Thigh High Closed Toe with Silicone Top Band 4360One-legged Panty Open Toe 10382One-legged Panty Closed Toe 10382Thigh High Open Toe with Waist Attachment Right Leg 5835Thigh High Closed Toe with Waist Attachment Right Leg 5835Thigh High Open Toe with Waist Attachment Left Leg 5835Thigh High Closed Toe with Waist Attachment Left Leg 5835Tights Open Toe 11421Tights Closed Toe 11421

NB: The above garments are available with additional options. These are priced separately. See belowFly 1038Open Crotch 623

473

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTS

Juzo Dynamic - Custom made for the upper limb

Garment Type

Class 1 (18-21mmHg) Price per piece

Armsleeve 3185

Armsleeve with Grip Top 3596

Armsleeve with Shoulder Strap 4536

Armsleeve with Bra Strap Attachment 4741

Combined Armsleeve 4932

Class 2 (23-32mmHg) Price per piece

Armsleeve 3288

Armsleeve with Grip Top 3699

Armsleeve with Shoulder Strap 4639

Armsleeve with Bra Strap Attachment 4844

Combined Armsleeve 5035

Class 3 (34-46mmHg) Price per piece

Armsleeve 3391

Armsleeve with Grip Top 3699

Armsleeve with Shoulder Strap 4741

Armsleeve with Bra Strap Attachment 4947

474

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Dynamic Cotton

Style Lengths SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Open Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Closed Toe Wide with SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4658

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5034Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5034

Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2518Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3715Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Open Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4658Thigh High Closed Toe Wide with SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4658

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5034Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5034

Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2877

475

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Dynamic Cotton - Custom made for the lower limbGarment TypeClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 2751Below Knee Closed Toe 2751Below Knee Open Toe with Silicone Top Band 3141Below Knee Closed Toe with Silicone Top Band 3141Thigh High Open Toe 3764Thigh High Closed Toe 3764Thigh High Open Toe with Silicone Top Band 4153Thigh High Closed Toe with Silicone Top Band 4153One-legged Panty Open Toe 9967One-legged Panty Closed Toe 9967Thigh High Open Toe with Waist Attachment Right Leg 5523Thigh High Closed Toe with Waist Attachment Right Leg 5523Thigh High Open Toe with Waist Attachment Left Leg 5523Thigh High Closed Toe with Waist Attachment Left Leg 5523Tights Open Toe 11005Tights Closed Toe 11005

Class 2 (23-32mmHg) Price per pieceBelow Knee Open Toe 2803Below Knee Closed Toe 2803Below Knee Open Toe with Silicone Top Band 3193Below Knee Closed Toe with Silicone Top Band 3193Thigh High Open Toe 3867Thigh High Closed Toe 3867Thigh High Open Toe with Silicone Top Band 4257Thigh High Closed Toe with Silicone Top Band 4257One-legged Panty Open Toe 10175One-legged Panty Closed Toe 10175Thigh High Open Toe with Waist Attachment Right Leg 5627Thigh High Closed Toe with Waist Attachment Right Leg 5627Thigh High Open Toe with Waist Attachment Left Leg 5627Thigh High Closed Toe with Waist Attachment Left Leg 5627Tights Open Toe 11213Tights Closed Toe 11213

NB: The above garments are available with additional options. These are priced separately. See belowFly 1038Open Crotch 623

Juzo EnergyStyle Lengths Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Closed Toe Standard, Short I, II, III, IV, V, VI 2612

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Standard, Short I, II, III, IV, V, VI 2612

476

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Expert - Custom made for the upper limbGarment Type CodesClass 1 (18-21mmHg) Price per pieceArmsleeve JUE1CG 3322Armsleeve with Gauntlet JUE1AG 6645Armsleeve with Glove JUE1AGL 8410Gauntlet with thumb stub JUE1G short 3478Gauntlet with thumb stub JUE1G long 3945Glove with open Fingers JUE1GLO short 5399Glove with closed Fingers JUE1GLC short 5399Glove with open Fingers JUE1GLO long 5503Glove with closed Fingers JUE1GLC long 5503Body Bandage JUE1BB short 6678Class 2 (23-32mmHg)Armsleeve JUE2CG 3504Armsleeve with Gauntlet JUE2AG 6749Armsleeve with Glove JUE2AGL 9136Gauntlet with thumb stub JUE2G short 3530Gauntlet with thumb stub JUE2G long 3997Glove with closed Fingers JUE2GLC short 5970Glove with open Fingers JUE2GLO short 5970Glove with open Fingers JUE2GLO long 6074Glove with closed Fingers JUE2GLC long 6074Body Bandage JUE2BB short 6884Class 3 (34-46mmHg)Armsleeve JUE3CG 3634Armsleeve with Gauntlet JUE3AG 6852Armsleeve with Glove JUE3AGL 9344Gauntlet with thumb stub JUE3G short 3634Glove with open Fingers JUE3GLO short 6229Glove with closed Fingers JUE3GLC short 6229

NB: The above garments are available with additional options. These are priced separately. See belowAnatomically flexed middle of elbow JUEA25 623Border JUEA24 411Hook and Eye fastener JUEA23 771Internal sewn-in adhesive border (piece) JUEA22 411Knitted-in, seamless bra cup JUEA26 771Overheight JUEA5 623Pressure pads (piece) JUEA4 1038Shoulder Cap JUEA21 1365Shoulder Cap with silicone support JUEA20 1781Silicone stopper (piece) JUEA19 411Tricot lining JUEA3 1557Velcro fastener JUEA2 1038Zipper JUEA1 2076

477

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Expert - Custom made for the lower limbGarment Type CodesClass 1 (18-21mmHg) Price per pieceFoot with open toe JLE1TC 4309Below Knee JLE1AD 3270Below Knee Footless JLE1ADF 2980Thigh High JLE1AG 3893Thigh High Footless JLE1AGF 3699Thigh High with Hip Attachment JLE1AGH 5866Tights open toe JLE1AT 14120Capri pants JLE1CP 12147Bermuda pants JLE1BP 9759Class 2 (23-32mmHg)Foot with open toe JLE2TC 4516Below Knee JLE2AD 3478Below Knee Footless JLE2ADF 3185Thigh High JLE2AG 4309Thigh High Footless JLE2AGF 3904Thigh High with Hip Attachment JLE2AGH 5970Tights open toe JLE2AT 14535Capri pants JLE2CP 12251Bermuda pants JLE2BP 9863Class 3 (34-46mmHg)Foot with open toe JLE3TC 4672Below Knee JLE3AD 3841Below Knee Footless JLE3ADF 3442Thigh High JLE3AG 4620Thigh High Footless JLE3AGF 4110Thigh High with Hip Attachment JLE3AGH 6229Tights open toe JLE3AT 16612Capri pants JLE3CP 12864Bermuda pants JLE3BP 10362Class 4 (>46mmHg)Below Knee JLE4AD 4049Thigh High JLE4AG 5191Thigh High with Hip Attachment JLE4AGH 6852Tights open toe JLE4AT 18688

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive border JLEA18 389Adhesive border at bottom of leg JLEA17 779Adjustable waist band JLEA16 831Anatomically Flexed Knee JLEA27 771Ball stub (diagonal foot) JLEA15 623Closed toe JLEA14 51Fly JLEA13 1038Hip fastening belt at ‘T’ JLEA12 779Hip fastening belt at ‘T’ with velcro JLEA11 1557Incorporated scrotum JLEA10 1557Instep stitching JLEA9 311Internal sewn-in adhesive border JLEA8 389Open crotch JLEA7 623Overheight JLEA5 623Pressure pads (piece) JLEA4 1038Silicone stopper JLEA6 389Tricot lining JLEA3 1557Velcro fastener JLEA2 1038Zipper JLEA1 2076

478

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Expert Strong - Custom made for the upper limbGarment Type CodesClass 1 (18-21mmHg) Price per pieceArmsleeve JUES1CG 3530Armsleeve with Gauntlet JUES1AG 6852Armsleeve with Glove JUES1AGL 8617Gauntlet with thumb stub JUES1G short 3634Gauntlet with thumb stub JUES1G long 4049Glove with open Fingers JUES1GLO short 5503Glove with closed Fingers JUES1GLC short 5503Glove with open Fingers JUES1GLO long 5710Glove with closed Fingers JUES1GLC long 5710Class 2 (23-32mmHg)Armsleeve JUES2CG 3634Armsleeve with Gauntlet JUES2AG 6956Armsleeve with Glove JUES2AGL 9344Gauntlet with thumb stub JUES2G short 3790Gauntlet with thumb stub JUES2G long 4101Glove with open Fingers JUES2GLO short 6177Glove with closed Fingers JUES2GLC short 6177Glove with open Fingers JUES2GLO long 6177Glove with closed Fingers JUES2GLC long 6177Class 3 (34-46mmHg)Armsleeve JUES3CG 3841Armsleeve with Gauntlet JUES3AG 7060Armsleeve with Glove JUES3AGL 9552Gauntlet with thumb stub JUES3G short 3738Glove with open Fingers JUES3GLO short 6281Glove with closed Fingers JUES3GLC short 6281

NB: The above garments are available with additional options. These are priced separately. See belowAnatomically flexed middle of elbow JUESA25 623Border JUESA24 411Hook and Eye fastener JUESA23 771Internal sewn-in adhesive border (piece) JUESA22 411Knitted-in, seamless bra cup JUESA26 771Overheight JUESA5 623Pressure pads (piece) JUESA4 1038Shoulder Cap JUESA21 1365Shoulder Cap with silicone support JUESA20 1781Silicone stopper (piece) JUESA19 411Tricot lining JUESA3 1557Velcro fastener JUESA2 1038Zipper JUESA1 2076

479

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Expert Strong - Custom made for the lower limbGarment Type CodesClass 1 (18-21mmHg) Price per pieceFoot with open toe JLES1TC 4412Below Knee JLES1AD 3322Below Knee Footless JLES1ADF 3031Thigh High JLES1AG 3945Thigh High Footless JLES1AGF 3750Thigh High with Hip Attachment JLES1AGH 5918Tights open toe JLES1AT 14172Capri pants JLES1CP 12251Bermuda pants JLES1BP 9863Class 2 (23-32mmHg)Foot with open toe JLES2TC 4568Below Knee JLES2AD 3530Below Knee Footless JLES2ADF 3236Thigh High JLES2AG 4361Thigh High Footless JLES2AGF 4110Thigh High with Hip Attachment JLES2AGH 6022Tights open toe JLES2AT 15054Capri pants JLES2CP 12355Bermuda pants JLES2BP 9967Class 3 (34-46mmHg)Foot with open toe JLES3TC 4776Below Knee JLES3AD 3893Below Knee Footless JLES3ADF 3493Thigh High JLES3AG 4672Thigh High Footless JLES3AGF 4315Thigh High with Hip Attachment JLES3AGH 6333Tights open toe JLES3AT 17131Capri pants JLES3CP 12978Bermuda pants JLES3BP 10465Class 4 (>46mmHg)Below Knee JLES4AD 4568Thigh High JLES4AG 5295Thigh High with Hip Attachment JLES4AGH 6956Tights open toe JLES4AT 19207

NB: The above garments are available with additional options. These are priced separately. See belowAdhesive border JLESA18 389Adhesive border at bottom of leg JLESA17 779Adjustable waist band JLESA16 831Anatomically Flexed Knee JLESA27 771Ball stub (diagonal foot) JLESA15 623Closed toe JLESA14 51Fly JLESA13 1038Hip fastening belt at ‘T’ JLESA12 779Hip fastening belt at ‘T’ with velcro JLESA11 1557Incorporated scrotum JLESA10 1557Instep stitching JLESA9 311Internal sewn-in adhesive border JLESA8 389Open crotch JLESA7 623Overheight JLESA5 623Pressure pads (piece) JLESA4 1038Silicone stopper JLESA6 389Tricot lining JLESA3 1557Velcro fastener JLESA2 1038Zipper JLESA1 2076

480

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Hostess

Style Lengths SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Open Toe with Wide Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Wide Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137

Class 2 (23-32mmHg)Below Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Open Toe with Wide Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Wide Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137

Juzo Hostess - Custom made for the lower limbGarment TypeClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 2751Below Knee Closed Toe 2751Below Knee Open Toe with Silicone Top Band 3141Below Knee Closed Toe with Silicone Top Band 3141Thigh High Open Toe 3764Thigh High Closed Toe 3764Thigh High Open Toe with Silicone Top Band 4153Thigh High Closed Toe with Silicone Top Band 4153Tights Open Toe 11005Tights Closed Toe 11005

Class 2 (23-32mmHg) Price per pieceBelow Knee Open Toe 2803Below Knee Closed Toe 2803Below Knee Open Toe with Silicone Top Band 3193Below Knee Closed Toe with Silicone Top Band 3193Thigh High Open Toe 3867Thigh High Closed Toe 3867Thigh High Open Toe with Silicone Top Band 4257Thigh High Closed Toe with Silicone Top Band 4257Tights Open Toe 11213Tights Closed Toe 11213

481

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Inspiration

Style Lengths SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2584Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2584Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2693Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2693Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Open Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Closed Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5082Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5082

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2584Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2584Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2693Below Knee Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2693Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Open Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Thigh High Closed Toe Wide with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4770Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5082Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5082

Juzo Inspiration - Custom made for the lower limbGarment TypeClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 2751Below Knee Closed Toe 2751Below Knee Open Toe with Silicone Top Band 3141Below Knee Closed Toe with Silicone Top Band 3141Thigh High Open Toe 3764Thigh High Closed Toe 3764Thigh High Open Toe with Silicone Top Band 4153Thigh High Closed Toe with Silicone Top Band 4153Tights Open Toe 11005Tights Closed Toe 11005

Class 2 (23-32mmHg) Price per pieceBelow Knee Open Toe 2803Below Knee Closed Toe 2803Below Knee Open Toe with Silicone Top Band 3193Below Knee Closed Toe with Silicone Top Band 3193Thigh High Open Toe 3867Thigh High Closed Toe 3867Thigh High Open Toe with Silicone Top Band 4257Thigh High Closed Toe with Silicone Top Band 4257Tights Open Toe 11213Tights Closed Toe 11213

482

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Soft

Style Lengths SizesClass 1 (18-21mmHg) Price per pieceArmsleeve I, II, III, IV, V, VI 1622Armsleeve max I, II, III, IV, V, VI 1622Armsleeve with Silicone Border I, II, III, IV, V, VI 2124Armsleeve with Silicone Border max I, II, III, IV, V, VI 2124

Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 2723

Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Open Toe with Wide SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Thigh High Closed Toe with Wide SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137

Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Class 2 (23-32mmHg) Price per pieceArmsleeve I, II, III, IV, V, VI 1622Armsleeve max I, II, III, IV, V, VI 1622Armsleeve with Silicone Border I, II, III, IV, V, VI 2124Armsleeve with Silicone Border max I, II, III, IV, V, VI 2124

Price per pairBelow Knee Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 2612Below Knee Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 2723Below Knee Closed Toe with Silicone Border

Extra Short, Short, Standard I, II, III, IV, V, VI 2723

Thigh High Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 3777Thigh High Open Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Closed Toe with Silicone Border Extra Short, Short, Standard I, II, III, IV, V, VI 4822Thigh High Open Toe with Wide SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Thigh High Closed Toe with Wide SiliconeBorder

Extra Short, Short, Standard I, II, III, IV, V, VI 4822

Tights Open Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137Tights Closed Toe Extra Short, Short, Standard I, II, III, IV, V, VI 5137

Price per pieceThigh High Open Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Closed Toe with Waist Attachment Right Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Open Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

Thigh High Closed Toe with Waist Attachment Left Leg

Extra Short, Short, Standard I, II, III, IV, V, VI 2928

483

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSJuzo Soft - Custom made for the lower limbGarment TypeClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 2751Below Knee Closed Toe 2751Below Knee Open Toe with Silicone Top Band 3141Below Knee Closed Toe with Silicone Top Band 3141Thigh High Open Toe 3764Thigh High Closed Toe 3764Thigh High Open Toe with Silicone Top Band 4153Thigh High Closed Toe with Silicone Top Band 4153Thigh High Open Toe with Waist Attachment Right Leg 5523Thigh High Closed Toe with Waist Attachment Right Leg 5523Thigh High Open Toe with Waist Attachment Left Leg 5523Thigh High Closed Toe with Waist Attachment Left Leg 5523Tights Open Toe 11005Tights Closed Toe 11005

Class 2 (23-32mmHg) Price per pieceBelow Knee Open Toe 2803Below Knee Closed Toe 2803Below Knee Open Toe with Silicone Top Band 3193Below Knee Closed Toe with Silicone Top Band 3193Thigh High Open Toe 3867Thigh High Closed Toe 3867Thigh High Open Toe with Silicone Top Band 4257Thigh High Closed Toe with Silicone Top Band 4257Thigh High Open Toe with Waist Attachment Right Leg 5627Thigh High Closed Toe with Waist Attachment Right Leg 5627Thigh High Open Toe with Waist Attachment Left Leg 5627Thigh High Closed Toe with Waist Attachment Left Leg 5627Tights Open Toe 11213Tights Closed Toe 11213

NB: The above garments are available with additional options. These are priced separately. See belowFly 1038Open Crotch 623

Juzo Soft - Custom made for the upper limbGarment TypeClass 1 (18-21mmHg) Price per pieceArmsleeve 3185Armsleeve with Grip Top 3596Armsleeve with Shoulder Strap 4536Armsleeve with Bra Strap Attachment 4742

Class 2 (23-32mmHg) Price per pieceArmsleeve 3288Armsleeve with Grip Top 3699Armsleeve with Shoulder Strap 4639Armsleeve with Bra Strap Attachment 4844

Mediven 95 Whitaker PouchStyle Sizes Price per pieceWhitaker Pouch II, III, IV 3619

484

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSMediven activeStyle SizesClass 1 (18-21mmHg) Price per pairBelow Knee Closed Toe I, II, III, IV, V, VI, VII 2911Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2911

Class 2 (23-32mmHg)Below Knee Closed Toe I, II, III, IV, V, VI, VII 2944Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2944

Mediven EleganceStyle SizesClass 1(18-21mmHg) Price per pairBelow Knee Closed Toe I, II, III, IV, V, VI, VII 2937Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2937Thigh Length with Top Band Closed Toe I, II, III, IV, V, VI, VII 5641Thigh Length Petite Top Band Closed Toe I, II, III, IV, V, VI, VII 5261Thigh Length Extra Wide Closed Toe Top Band I, II, III, IV, V, VI, VII 5641Thigh Length Extra Wide Petite Closed Toe Top Band I, II, III, IV, V, VI, VII 5261Tights Closed Toe I, II, III, IV, V, VI, VII 5718Tights Closed Toe Petite I, II, III, IV, V, VI, VII 5718

Class 2 (23-32mmHg)Below Knee Closed Toe I, II, III, IV, V, VI, VII 2937Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2937Thigh Length with Top Band Closed Toe I, II, III, IV, V, VI, VII 5641Thigh Length Petite Top Band Closed Toe I, II, III, IV, V, VI, VII 5261Thigh Length Extra Wide Closed Toe Top Band I, II, III, IV, V, VI, VII 5641Thigh Length Extra Wide Petite Closed Toe Top Band I, II, III, IV, V, VI, VII 5261Tights Closed Toe I, II, III, IV, V, VI, VII 5718Tights Closed Toe Petite I, II, III, IV, V, VI, VII 5718

Mediven Elegance Made to MeasureStyle Code

Class 1 (18-21mmHg) Price per pieceBelow Knee DTLK1 2711Thigh Length DTLT1 3714Tights DTLTG1 10845

Class 2 (23-32mmHg)Below Knee DTLK2 2762Thigh Length DTLT2 3811Tights DTLTG2 11054

NB. The above garments are available with optional extras. These are priced separately. See belowSilicone Topband DTTB 806Soft Abdominal Panel DTSAP 1909

485

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSMediven Esprit MTM

Style CodeClass 1 (18-21mmHg) Price per pieceArmsleeve DTECG1 3818Combined Armsleeve with Handpiece DTEAG1 7062Combined Armsleeve with Fingers DTEAF1 9624Handpiece DTEHP1 3713Glove DTEGV1 6277

Class 2 (23-32mmHg)Armsleeve DTECG2 3818Combined Armsleeve with Handpiece DTEAG2 7062Combined Armsleeve with Fingers DTEAF2 9624Handpiece DTEHP2 3713Glove DTEGV2 6277

Class 3 (34-46mmHg)Armsleeve DTECG3 3818Combined Armsleeve with Handpiece DTEAG3 7062Combined Armsleeve with Fingers DTEAF3 9624Handpiece DTEHP3 3713Glove DTEGV3 6277

NB: The above garments are available in various colours with no additional charge. The above garments areavailable with optional extras. These are priced separately. See belowShoulder Cap DTESC 1308Silicone Topband DTSTB 804Zip DTZIP 2229

Mediven for men Style SizesClass 1 (18-21mmHg) Price per pairBelow Knee Closed Toe I, II, III, IV, V, VI, VII 2915Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2915

Class 2 (23-32mmHg)Below Knee Closed Toe I, II, III, IV, V, VI, VII 2948Below Knee Closed Toe Petite I, II, III, IV, V, VI, VII 2948

486

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSMediven harmony

Style Length SizesClass 1(15-21mmHg) Price per pieceArmsleeve Regular I, II, III, IV, V, VI, VII, VIII 1544Armsleeve Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 1544Armsleeve with Grip Top Short, Regular I, II, III, IV, V, VI, VII, VIII 2058Armsleeve with Grip Top Extra Wide Short, Regular I, II, III, IV, V, VI, VII, VIII 2058Armsleeve with Shoulder Cap Regular I, II, III, IV, V, VI, VII, VIII 2019Armsleeve with Shoulder Cap Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 2019Combined Armsleeve Regular I, II, III, IV, V, VI, VII, VIII 2801Combined Armsleeve Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 2801Combined Armsleeve with Grip Top Short, Regular I, II, III, IV, V, VI, VII, VIII 3316Combined Armsleeve with Grip Top ExtraWide

Short, Regular I, II, III, IV, V, VI, VII, VIII 3316

Combined Armsleeve with Shoulder Cap Regular I, II, III, IV, V, VI, VII, VIII 3189Combined Armsleeve with Shoulder CapExtra Wide

Regular I, II, III, IV, V, VI, VII, VIII 3189

Glove II, III, IV, V, VI, VII 4323

Class 2 (23-32mmHg)Armsleeve Regular I, II, III, IV, V, VI, VII, VIII 1658Armsleeve Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 1658Armsleeve with Grip Top Short, Regular I, II, III, IV, V, VI, VII, VIII 2172Armsleeve with Grip Top Extra Wide Short, Regular I, II, III, IV, V, VI, VII, VIII 2172Armsleeve with Shoulder Cap Regular I, II, III, IV, V, VI, VII, VIII 2199Armsleeve with Shoulder Cap Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 2199Combined Armsleeve Regular I, II, III, IV, V, VI, VII, VIII 2916Combined Armsleeve Extra Wide Regular I, II, III, IV, V, VI, VII, VIII 2916Combined Armsleeve with Grip Top Short, Regular I, II, III, IV, V, VI, VII, VIII 3430Combined Armsleeve with Grip Top ExtraWide

Short, Regular I, II, III, IV, V, VI, VII, VIII 3430

Combined Armsleeve with Shoulder Cap Regular I, II, III, IV, V, VI, VII, VIII 3300Combined Armsleeve with Shoulder CapExtra Wide

Regular I, II, III, IV, V, VI, VII, VIII 3300

Glove II, III, IV, V, VI, VII 4552

Mediven Mondi MTMStyle Code

Class 1 (18-21mmHg) Price per pieceBelow Knee DTMK1 3485One Legged Panty DTMOP1 11824Thigh Length DTMT1 4057Thigh Length with Waist Attachment DTMW1 5724

Class 2 (23-32mmHg)Below Knee DTMK2 3650One Legged Panty DTMOP2 12861Tights DTMTG2 16669Thigh Length DTMT2 4481Thigh Length with Waist Attachment DTMW2 6152

Class 3 (34-46mmHg)Below Knee DTMK3 4089One Legged Panty DTMOP3 13898Tights DTMTG3 17718Thigh Length DTMT3 5041Thigh Length with Waist Attachment DTMW3 6313

NB: The above garments are available with optional extras. These are priced separately. See belowClosed Toe DTTOE 107Silicone Topband DTTB 812‘Y’ Knitting Mark DTYKM 988Zip DTZIP 2250

487

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSMediven PlusStyle SizesClass 1(18-21mmHg) Price per pairBelow Knee Open Toe I, II, III, IV, V, VI, VII 2958Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 2958Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 3375Below Knee Open Toe Petite Extra Wide I, II, III, IV, V, VI, VII 3375Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 5301Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 5684Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 5662Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 5281

Price eachThigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 2970Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe I, II, III, IV, V, VI, VII 2958Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 2958Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 3375Below Knee Open Toe Petite Extra Wide I, II, III, IV, V, VI, VII 3375Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 5301Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 5684Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 5662Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 5281

Price eachThigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 2970Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 2970Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe I, II, III, IV, V, VI, VII 3248Below Knee Open Toe Petite I, II, III, IV, V, VI, VII 3248Below Knee Open Toe Extra Wide I, II, III, IV, V, VI, VII 3689Thigh Length Petite Silicone Top Open Toe I, II, III, IV, V, VI, VII 5916Thigh Length Silicone Top Open Toe I, II, III, IV, V, VI, VII 5916Thigh Length Extra Wide Open Toe Silicone Top I, II, III, IV, V, VI, VII 5894Thigh Length Extra Wide Petite Open Toe Silicone Top I, II, III, IV, V, VI, VII 5894

Price eachThigh Length Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 3268Thigh Length Petite Waist Attachment Right Open Toe I, II, III, IV, V, VI, VII 3268Thigh Length Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 3268Thigh Length Petite Waist Attachment Left Open Toe I, II, III, IV, V, VI, VII 3268

488

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSMediven Plus Made to Measure

Style CodeClass 1 (18-21mmHg) Price per pieceBelow Knee DTPK1 2711Thigh Length DTPT1 3714Thigh Length with Waist Attachment DTPW1 5443Tights DTPTG1 10845One Legged Panty DTPOP1 8863

Class 2 (23-32mmHg)Below Knee DTPK2 2762Thigh Length DTPT2 3811Thigh Length with Waist Attachment DTPW2 5545Tights DTPTG2 11054One Legged Panty DTPOP2 9077

Class 3 (34-46mmHg)Below Knee DTPK3 2864Thigh Length DTPT3 3913Thigh Length with Waist Attachment DTPW3 5750Tights DTPTG3 11255One Legged Panty DTPOP3 9222

NB. The above garments are available with optional extras. These are priced separately. See belowSilicone Topband DTTB 806Soft Abdominal Panel DTSAP 1909Fly for men DTFLY 1024

Mobiderm Autofit Price per pieceStyle Lengths Sizes

Armsleeve with Gauntlet (Right, Left) Normal, Long 1, 2, 3, 4, 5, 6 18803Below Knee Short, Normal, Long, Xtra Long 1, 2, 3, 4 16800Thigh High Short, Normal, Long, Xtra Long 1, 2, 3, 4 29900

ReadyWrapStyle Lengths Sizes

Price per pieceArmsleeve Small, Average, Tall S, M, L, XL 17158Calf 30cm, 35cm S, M, L, XL, XXL 8733Gauntlet S, M, L, XL 2877Extender Strap 1800Foot (Left or Right) S, M, L, XL 3641Toe (Left or Right) S, M, L, XL, XXL 5364Knee S, M, L, XL, XXL 4624Thigh 25cm, 30cm S, M, L, XL, XXL 9761

489

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris AdvanceArm Sleeves Lengths SizesAdvance 1 Price per pieceLow Compression (14-18mmHg)with Grip Top/no Hand Piece Long, Normal XS, S, M, L, XL 1828with Hand Piece and Grip Top Long, Normal XS, S, M, L, XL 2847with Hand Piece and Grip Top Plus Size Long, Normal XS, S, M, L, XL 2847with Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 2847without Hand Piece + Grip Top Plus Size Long, Normal XS, S, M, L, XL 1828without Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 1828

Advance 2Medium Compression (20-25mmHg)with Grip Top/no Hand Piece Long, Normal XS, S, M, L, XL 1828with Hand Piece and Grip Top Long, Normal XS, S, M, L, XL 2847with Hand Piece and Grip Top Plus Size Long, Normal XS, S, M, L, XL 2847with Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 2847without Hand Piece + Grip Top Plus Size Long, Normal XS, S, M, L, XL 1828without Hand Piece without Grip Top Long, Normal XS, S, M, L, XL 1828

Advance 3 Price per pieceHigh Compression (30-40mmHg)with Grip Top/no Hand Piece Long, Normal S, M, L, XL 1828with Grip Top/no Hand Piece Plus Size Long, Normal S, M, L, XL 1828with Hand Piece and Grip Top Long, Normal S, M, L, XL 2847with Hand Piece and Grip Top Plus Size Long, Normal S, M, L, XL 2847

Sigvaris Basic LinerStyle Sizes

Price per pairBelow knee one size 833

Sigvaris ComfortStyle Length Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2757Thigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Plus Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Panty Open Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Closed Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Open Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Closed Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298

490

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTS Price per pieceThigh High Open Toe with Waist Attachment(Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Open Toe with Waist Attachment(Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Closed Toe with Waist Attachment(Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Closed Toe with Waist Attachment(Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Class 2 (23-32mm Hg) Price per pairBelow Knee Open Toe Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2757Tights Bodyform Open Toe Normal, Long XXS, XS, S, M, L, XL 5298Tights Bodyform Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Tights Bodyform Closed Toe Normal, Long XXS, XS, S, M, L, XL 5298Tights Bodyform Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Plus Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5298Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5298Panty Open Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Closed Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Open Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Closed Toe Normal, Long XXS, XS, S, M, L, XL 5298Panty Extra Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5298

Price per pieceThigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3130

Sigvaris Complete LinerStyle Sizes

(10-15mmHg) Price per pairCalf S, M, L, XL, XXL 1600

Sigvaris CompreBootStyle Lengths Sizes

(30-40mmHg) Price per pieceCompreBoot Regular, Long S, M/L, XL/XXL 3500

491

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris CompreFit

Style Lengths SizesPrice per piece

Extender Strap 750

(30-40mmHg)Below Knee (No Foot) Regular, Tall S, M, L, XL, XXL 9000Thigh High S, M, L, XL 9000

Sigvaris CompreFLEXStyle Lengths Sizes

Price per pieceExtender Strap 750

(20-50mmHg)Below Knee (No Foot) Regular, Tall S, M, L, XL, XXL 11000Thigh High (Left or Right) Regular, Tall S, M, L, XL 11000

Sigvaris CompreFLEX CompleteStyle Lengths Sizes

Price per piece(20-50mmHg)Calf Regular, Tall S, M, L, XL, XXL 11000

Sigvaris CompreFLEX TransitionStyle Lengths Sizes

Price per piece(20-50mmHg)Calf Regular, Tall S, M, L, XL, XXL 11000

Sigvaris CompreKneeStyle Sizes

(30-40mmHg) Price per pieceCompreKnee S, M, L/XL 3000

PSigvaris CotonStyle Lengths Sizes

(15-20mmHg) Price per pairBelow Knee Closed Toe Female Long, Normal S, M, L, XL 2770Thigh High Hold Up Closed Toe Female Long, Normal S, M, L, XL 5323

Pto be deleted 1 January 2020

492

11/2019 Part IXAAPPLIANCES

LYMPHOEDEMA GARMENTSSigvaris Cotton

Style Length SizesClass 1 (18-21mmHg) Price per pairBelow Knee Open Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L, XL 2770Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L, XL 2770Thigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Sensinnov Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Sensinnov Grip Top Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Thigh High Closed Toe with Sensinnov Grip Top

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Thigh High Closed Toe with Sensinnov Grip Top Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Panty Open Toe Normal, Long XXS, XS, S, M, L, XL 5322Panty Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5322

Price per pieceThigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L, XL 2770Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L, XL 2770Below Knee Open Toe with Grip Top Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Open Toe Plus with Grip Top Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe with Grip Top Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Plus with Grip Top Normal, Long XXS, XS, S, M, L, XL 2770

493

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTS Price per pairThigh High Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Sensinnov Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Sensinnov Grip Top Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Thigh High Closed Toe with Sensinnov Grip Top

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Thigh High Closed Toe with Sensinnov Grip Top Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5322

Panty Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322

Price per pieceThigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Class 3 (33-46mmHg) Price per pairBelow Knee Xtra Open Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Closed Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Xtra Maxi Closed Toe Normal, Long XS, S, M, L 2770Below Knee Xtra Maxi Closed Toe Plus Normal, Long XS, S, M, L 2770Thigh High Open Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Open Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Short, Normal, Long XXS, XS, S, M, L, XL 5322Thigh High Closed Toe with Grip Top Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5322Panty Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5322

Price per pieceThigh High Open Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Open Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right)

Short, Normal, Long XXS, XS, S, M, L, XL 3145

Thigh High Closed Toe with Waist Attachment (Left or Right) Plus

Short, Normal, Long XXS, XS, S, M, L, XL 3145

494

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris Cotton Liner

Style SizesPrice per pair

Below Knee one size 833Price per piece

Thigh High S/M/L, XL 833

Sigvaris DiaphaneStyle Lengths Sizes

(10-15mmHg) Price per pairBelow Knee Closed Toe Female Normal, Long S, M, L, XL 2722Thigh High Grip Top Closed Toe Female Normal, Long S, M, L, XL 5231Panty Closed Toe Female Normal, Long S, M, L, XL 5231

(15-21mmHg)Below Knee Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 2722Below Knee Closed Toe Female Plus Normal, Long S,M,L,XL,XXL 2722Below Knee Closed Toe Female Slim Normal, Long S,M,L,XL 2722Thigh High Grip Top Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 5231Thigh High Grip Top Closed Toe Female Plus Normal, Long S,M,L,XL,XXL 5231Thigh High Grip Top Closed Toe Female Slim Normal, Long S,M,L,XL 5231Panty Closed Toe Female Normal, Long S, M, L, XL, XXL 5231Panty Closed Toe Female Plus Normal, Long S,M,L,XL,XXL 5231

(22-32mmHg)Below Knee Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 2722Below Knee Closed Toe Female Plus Normal, Long S,M,L,XL 2722Below Knee Closed Toe Female Slim Normal, Long S,M,L,XL 2722Thigh High Grip Top Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 5231Thigh High Grip Top Closed Toe Female Plus Normal, Long S,M,L,XL 5231Thigh High Grip Top Closed Toe Female Slim Normal, Long S,M,L,XL 5231Panty Closed Toe Female Normal, Long S, M, L, XL 5231

PSigvaris ExpertStyle Lengths Sizes

(20-36mmHg) Price per pairBelow Knee Closed Toe Male Long, Normal S, M, L, XL 2770Below Knee Closed Toe Female Long, Normal S, M, L, XL 2770Thigh High Grip Top Closed Toe Male Long, Normal S, M, L, XL 5323Thigh High Hold Up Closed Toe Female Long, Normal S, M, L, XL 5323

Pto be deleted 1 January 2020

Sigvaris InitialStyle Length Sizes

(10-15mmHg) Price per pairBelow Knee Closed Toe Male Normal, Long S, M, L, XL, XXL 2770

Sigvaris InstinctStyle Lengths Sizes

(15-20mmHg) Price per pairBelow Knee Closed Toe Male Long, Normal S, M, L, XL, XXL 2770Below Knee Open Toe Male Long, Normal S, M, L, XL, XXL 2770Thigh High Grip Top Closed Toe Male Long, Normal S, M, L, XL, XXL 5322Thigh High Grip Top Open Toe Male Long, Normal S, M, L, XL, XXL 5322

(20-36mmHg)Below Knee Closed Toe Male Long, Normal S, M, L, XL, XXL 2770Thigh High Grip Top Closed Toe Male Long, Normal S, M, L, XL, XXL 5322

495

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris James

Style Length SizesClass 2 (23-32mm Hg) Price per pairBelow Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2757Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2757

Sigvaris Lymphoedema GloveStyle Length Sizes

Class 1 (18-21mmHg) Price per pieceGlove (Left or Right) with compressive fingers Standard S, M, L 3195

Sigvaris MagicStyle Length Sizes

Class 1 (18-21mmHg) Price per pairBelow Knee Open Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Thigh High Knobbed Grip Top Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Closed Toe Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5323

Thigh High Lace Grip Top Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Tights Open Toe Normal, Long XXS, XS, S, M, L, XL 5323Tights Closed Toe Normal, Long XXS, XS, S, M, L, XL 5323Tights Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5323Tights Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5323

Class 2 (23-32mm Hg)Below Knee Open Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Normal, Long XXS, XS, S, M, L, XL 2770Below Knee Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 2770Thigh High Knobbed Grip Top Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Knobbed Grip Top Closed Toe Plus

Short, Normal, Long XXS, XS, S, M, L, XL 5323

Thigh High Lace Grip Top Open Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Open Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Closed Toe Short, Normal, Long XXS, XS, S, M, L, XL 5323Thigh High Lace Grip Top Closed Toe Plus Short, Normal, Long XXS, XS, S, M, L, XL 5323Tights Open Toe Normal, Long XXS, XS, S, M, L, XL 5323Tights Closed Toe Normal, Long XXS, XS, S, M, L, XL 5323Tights Open Toe Plus Normal, Long XXS, XS, S, M, L, XL 5323Tights Closed Toe Plus Normal, Long XXS, XS, S, M, L, XL 5323

496

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris MTM Comfort

StyleClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 3318Below Knee Closed Toe 3318Below Knee Open Toe with Grip Top 4043Below Knee Closed Toe with Grip Top 4043Thigh High Open Toe 3883Thigh High Closed Toe 3883Thigh High Open Toe with Grip Top 4562Thigh High Closed Toe with Grip Top 4562One-legged Panty Open Toe 12196One-legged Panty Closed Toe 12196Panty Bodyform Open Toe 14515Panty Bodyform Closed Toe 14515Panty Open Toe 14515Panty Closed Toe 14515Thigh High Open Toe with Waist Attachment (Left or Right) 5495Thigh High Closed Toe with Waist Attachment (Left or Right) 5495

Class 2 (23-32mm Hg)Below Knee Open Toe 3421Below Knee Closed Toe 3421Below Knee Open Toe with Grip Top 4147Below Knee Closed Toe with Grip Top 4147Thigh High Open Toe 4246Thigh High Closed Toe 4246Thigh High Open Toe with Grip Top 4925Thigh High Closed Toe with Grip Top 4925One-legged Panty Open Toe 12196One-legged Panty Closed Toe 12196Panty Bodyform Open Toe 15656Panty Bodyform Closed Toe 15656Panty Open Toe 15656Panty Closed Toe 15656Thigh High Open Toe with Waist Attachment (Left or Right) 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 5962

497

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris MTM Cotton

StyleClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe 3318Below Knee Closed Toe 3318Below Knee Open Toe with Grip Top 4043Below Knee Closed Toe with Grip Top 4043Thigh High Open Toe 4556Thigh High Closed Toe 4556Thigh High Open Toe with Grip Top 4562Thigh High Closed Toe with Grip Top 4562One-legged Panty Open Toe 12196One-legged Panty Closed Toe 12196Panty Open Toe 14515Panty Closed Toe 14515Thigh High Open Toe with Waist Attachment (Left or Right) 5495Thigh High Closed Toe with Waist Attachment (Left or Right) 5495Class 2 (23-32mmHg)Below Knee Open Toe 3421Below Knee Closed Toe 3421Below Knee Open Toe with Grip Top 4043Below Knee Closed Toe with Grip Top 4043Thigh High Open Toe 4939Thigh High Closed Toe 4939Thigh High Open Toe with Grip Top 4946Thigh High Closed Toe with Grip Top 4946One-legged Panty Open Toe 12196One-legged Panty Closed Toe 12196Panty Open Toe 15656Panty Closed Toe 15656Thigh High Open Toe with Waist Attachment (Left or Right) 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 5962Class 3 (34-46mmHg)Below Knee Open Toe 3421Below Knee Closed Toe 3421Below Knee Open Toe with Grip Top 4147Below Knee Closed Toe with Grip Top 4147Thigh High Open Toe 4939Thigh High Closed Toe 4939Thigh High Open Toe with Grip Top 4946Thigh High Closed Toe with Grip Top 4946One-legged Panty Open Toe 12196One-legged Panty Closed Toe 12196Panty Open Toe 15656Panty Closed Toe 15656Thigh High Open Toe with Waist Attachment (Left or Right) 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 5962

498

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris MTM Magic

StyleClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe Female 3318Below Knee Closed Toe Female 3318Below Knee Open Toe with Grip Top Female 4043Below Knee Closed Toe with Grip Top Female 4043Thigh High Open Toe with Grip Top Female 4562Thigh High Closed Toe with Grip Top Female 4562Panty Open Toe Female 14515Panty Closed Toe Female 14515Class 2 (23-32mm Hg)Below Knee Open Toe Female 3421Below Knee Closed Toe Female 3421Below Knee Open Toe with Grip Top Female 4147Below Knee Closed Toe with Grip Top Female 4147Thigh High Open Toe with Grip Top Female 4925Thigh High Closed Toe with Grip Top Female 4925Panty Open Toe Female 15656Panty Closed Toe Female 15656

Sigvaris MTM Optiform FlexStyle Codes

Class 1 (18-21mmHg) Price per pieceBelow Knee Open Toe OFC1 3478Below Knee Closed Toe OFC1 3478Thigh High Open Toe OFT1 4134Thigh High Closed Toe OFT1 4134Thigh High Open Toe with Waist Attachment (Left or Right) OFW1 5848Thigh High Closed Toe with Waist Attachment (Left or Right) OFW1 5848Body Bandage OFB1 6856Shorts OFS1 9477Capri Length OFCL1 11796Leggings OFL1 13107Class 2 (23-32mmHg)Below Knee Open Toe OFC2 3680Below Knee Closed Toe OFC2 3680Thigh High Open Toe OFT2 4537Thigh High Closed Toe OFT2 4537Thigh High Open Toe with Waist Attachment (Left or Right) OFW2 6150Thigh High Closed Toe with Waist Attachment (Left or Right) OFW2 6150Body Bandage OFB2 7360Shorts OFS2 9578Capri Length OFCL2 11897Leggings OFL2 13308

NB: The above garments are available with optional extras. These are priced separately. See belowSilicone band/strips OA1S 605Knee functional zone OA1K 605Adjustable waistband OA2AW 1008Ankle Pad - 1 piece OA2AP 1008Liner pocket OA2SP 1008Fly Opening OA2FO 1008Reinforced gusset OA2RG 1008Zip with lining OA3Z 2168

499

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris MTM Optiform Hold

Style CodesClass 1 (18-21mmHg) Price per pieceBelow Knee Open Toe OHC1 3478Below Knee Closed Toe OHC1 3478Thigh High Open Toe OHT1 4134Thigh High Closed Toe OHT1 4134Thigh High Open Toe with Waist Attachment (Left or Right) OHW1 5848Thigh High Closed Toe with Waist Attachment (Left or Right) OHW1 5848Body Bandage OHB1 6856Shorts OHS1 9477Capri Length OHCL1 11796Leggings OHL1 13107Class 2 (23-32mmHg)Below Knee Open Toe OHC2 3680Below Knee Closed Toe OHC2 3680Thigh High Open Toe OHT2 4537Thigh High Closed Toe OHT2 4537Thigh High Open Toe with Waist Attachment (Left or Right) OHW2 6150Thigh High Closed Toe with Waist Attachment (Left or Right) OHW2 6150Body Bandage OHB2 7360Shorts OHS2 9578Capri Length OHCL2 11897Leggings OHL2 13308Class 3 (34-46mmHg)Below Knee Open Toe OHC3 3932Below Knee Closed Toe OHC3 3932Thigh High Open Toe OHT3 4940Thigh High Closed Toe OHT3 4940Thigh High Open Toe with Waist Attachment (Left or Right) OHW3 6452Thigh High Closed Toe with Waist Attachment (Left or Right) OHW3 6452Body Bandage OHB3 7864Shorts OHS3 10082Capri Length OHCL3 12502Leggings OHL3 13712

NB: The above garments are available with optional extras. These are priced separately. See belowSilicone band/strips OA1S 605Knee functional zone OA1K 605Adjustable waistband OA2AW 1008Ankle Pad - 1 piece OA2AP 1008Liner pocket OA2SP 1008Fly Opening OA2FO 1008Reinforced gusset OA2RG 1008Zip with lining OA3Z 2168

500

11/2019 Part IXAAPPLIANCES

LYMPHOEDEMA GARMENTSSigvaris MTM Traditional

Style Code(23-32mmHg) Price per pieceBelow Knee Open Toe 503 3421 Below Knee Closed Toe 503 3421Below Knee Open Toe with Grip Top 503 4147Below Knee Closed Toe with Grip Top 503 4147One-legged Panty Open Toe 503 12196One-legged Panty Closed Toe 503 12196One-legged Panty Open Toe Full Compression 503 12196One-legged Panty Closed Toe Full Compression 503 12196Thigh High Open Toe 503 4220Thigh High Closed Toe 503 4220Thigh High Open Toe Full Compression 503 4220Thigh High Closed Toe Full Compression 503 4220Thigh High Open Toe with Grip Top 503 4946Thigh High Closed Toe with Grip Top 503 4946Thigh High Open Toe with Grip Top Full Compression 503 4946Thigh High Closed Toe with Grip Top Full Compression 503 4946Thigh High Open Toe with Waist Attachment (Left or Right) 503 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 503 5962Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) 503 5962Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) 503 5962

Price per pairPanty Bodyform Open Toe 503 15656Panty Bodyform Closed Toe 503 15656Panty Open Toe 503 15656Panty Open Toe Full Compression 503 15656Panty Closed Toe 503 15656Panty Closed Toe Full Compression 503 15656

(34-46mmHg) Price per pieceBelow Knee Open Toe 504 3421Below Knee Closed Toe 504 3421Below Knee Open Toe with Grip Top 504 4147Below Knee Closed Toe with Grip Top 504 4147One-legged Panty Open Toe 504 12196One-legged Panty Closed Toe 504 12196One-legged Panty Open Toe Full Compression 504 12196One-legged Panty Closed Toe Full Compression 504 12196Thigh High Open Toe 504 4220Thigh High Closed Toe 504 4220Thigh High Open Toe Full Compression 504 4220Thigh High Closed Toe Full Compression 504 4220Thigh High Open Toe with Grip Top 504 4946Thigh High Closed Toe with Grip Top 504 4946Thigh High Open Toe with Grip Top Full Compression 504 4946Thigh High Closed Toe with Grip Top Full Compression 504 4946Thigh High Open Toe with Waist Attachment (Left or Right) 504 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 504 5962Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) 504 5962Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) 504 5962

501

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTS Price per pairPanty Bodyform Open Toe 504 15656Panty Bodyform Closed Toe 504 15656Panty Open Toe 504 15656Panty Open Toe Full Compression 504 15656Panty Closed Toe 504 15656Panty Closed Toe Full Compression 504 15656

(49-59mmHg) Price per pieceBelow Knee Open Toe 505 3421 Below Knee Open Toe with Grip Top 505 4147Below Knee Closed Toe 505 3421Below Knee Closed Toe with Grip Top 505 4147One-legged Panty Open Toe 505 12196One-legged Panty Closed Toe 505 12196One-legged Panty Open Toe Full Compression 505 12196One-legged Panty Closed Toe Full Compression 505 12196Thigh High Open Toe 505 4220Thigh High Closed Toe 505 4220Thigh High Open Toe Full Compression 505 4220Thigh High Closed Toe Full Compression 505 4220Thigh High Open Toe with Grip Top 505 4946Thigh High Closed Toe with Grip Top 505 4946Thigh High Open Toe with Grip Top Full Compression 505 4946Thigh High Closed Toe with Grip Top Full Compression 505 4946Thigh High Open Toe with Waist Attachment (Left or Right) 505 5962Thigh High Closed Toe with Waist Attachment (Left or Right) 505 5962Thigh High Open Toe with Waist Attachment Full Compression (Left or Right) 505 5962Thigh High Closed Toe with Waist Attachment Full Compression (Left or Right) 505 5962

Price per pairPanty Bodyform Open Toe 505 15656Panty Bodyform Closed Toe 505 15656Panty Open Toe 505 15656Panty Open Toe Full Compression 505 15656Panty Closed Toe 505 15656Panty Closed Toe Full Compression 505 15656

Sigvaris Opalis Style Lengths Sizes

(15-21mmHg) Price per pairBelow Knee Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 2722Below Knee Closed Toe Female Plus Normal, Long S, M, L, XL, XXL 2722Below Knee Closed Toe Female Slim Normal, Long S, M, L, XL 2722Below Knee Open Toe Female Normal, Long XS, S, M, L, XL, XXL 2722Thigh High with Grip Top Closed Toe Female Normal, Long XS, S, M, L, XL, XXL 5231Thigh High with Grip Top Closed Toe Female Plus Normal, Long S, M, L, XL, XXL 5231Thigh High with Grip Top Closed Toe Female Slim Normal, Long S, M, L, XL 5231Thigh High with Grip Top Open Toe Female Normal, Long XS, S, M, L, XL, XXL 5231

502

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSigvaris TraditionalArm Sleeves Lengths Sizes(23-32mmHg) Price per piecewith Grip Top/no Hand Piece Short, Long S, M, L 2101with Grip Top/with Hand Piece Short, Long S, M, L 3316with Shoulder Cap/no Hand Piece Short, Long S, M, L 1988with Shoulder Cap/with Hand Piece Short, Long S, M, L 3139

Sigvaris Traditional 500Style Length Sizes

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe Short, Long XS, S, M, L, XL 2770Below Knee Open Toe Plus Short, Long S, M, L, XL 2770Thigh High Open Toe Short S, M, L 5322Thigh High Open Toe Long XS, S, M, L, XL 5322Thigh High Open Toe Plus Short S, M, L 5322Thigh High Open Toe Plus Long S, M, L, XL 5322Thigh High Open Toe with Grip Top Short, Long S, M, L 5322Thigh High Open Toe with Grip Top Plus Short, Long S, M, L 5322

Price per pieceThigh High with Waist Attachment (Left or Right) Short, Long S, M, L 3579Thigh High Open Toe with Waist Attachment(Left or Right) Plus

Short, Long S, M, L 3579

Class 3 (34-46mm Hg) Price per pairBelow Knee Open Toe Short, Long S, M, L, XL 3041Below Knee Open Toe Plus Short, Long S, M, L, XL 3041Thigh High Open Toe Short, Long S, M, L 5431Thigh High Open Toe Plus Short, Long S, M, L 5431Thigh High Open Toe with Grip Top Short, Long S, M, L 5431Thigh High Open Toe with Grip Top Plus Short, Long S, M, L 5431

Price per pieceThigh High with Waist Attachment (Left or Right) Plus Short, Long S, M, L 3840

Sigvaris Transition LinerStyle Sizes

(10-15mmHg) Price per pairCalf S, M, L, XL, XXL 1600

Sigvaris UrbanStyle Length Sizes

(15-20mmHg) Price per pairBelow Knee Closed Toe Male Normal, Long XS, S, M, L, XL, XXL 2770Below Knee Closed Toe Male Plus Normal, Long S,M,L,XL,XXL 2770Below Knee Closed Toe Male Slim Normal, Long XS,S,M,L,XL 2770Thigh High Grip Top Closed Toe Male Normal, Long S, M, L, XL, XXL 5323Thigh High Grip Top Closed Toe Male Slim Normal, Long S,M,L,XL 5323

503

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSolidea Catherine

Style SizesClass 1 (18-21mmHg) Price per pairThigh High Closed Toe S,M,ML,L,XL 2990Thigh High Open Toe S,M,ML,L,XL 2990

Class 2 (25-32mmHg) Price per pairThigh High Closed Toe S,M,ML,L,XL 3290Thigh High Closed Toe Plus Line S,M,ML,L,XL 3290Thigh High Open Toe S,M,ML,L,XL 3290Thigh High Open Toe Plus Line S,M,ML,L,XL 3290

Solidea DynamicStyle Sizes

Class 1 (18-21mmHg) Price per pairTights Closed Toe S,M,ML,L,XL 4320Tights Open Toe S,M,ML,L,XL 4320

Solidea MarilynStyle Sizes

Class 1 (18-21mmHg) Price per pairThigh High Closed Toe with Silicone Top S,M,ML,L,XL 3290Thigh High Open Toe with Silicone Top S,M,ML,L,XL 3290

Class 2 (25-32mmHg) Price per pairThigh High Closed Toe with Silicone Top S,M,ML,L,XL 3590Thigh High Closed Toe Plus Line with Silicone Top S,M,ML,L,XL 3590Thigh High Open Toe with Silicone Top S,M,ML,L,XL 3590Thigh High Open Toe Plus Line with Silicone Top S,M,ML,L,XL 3590

Class 3 (34-46mmHg) Price per pairThigh High Open Toe with Silicone Top S,M,ML,L,XL 4320Thigh High Open Toe Plus Line with Silicone Top S,M,ML,L,XL 4320

Solidea Medical Gauntlet Arm BandStyle Sizes

Class 1 (15-21mmHg) Price per pieceArmsleeve S, M, L, XL 2970

Class 2 (23-32mmHg)Armsleeve S, M, L, XL 3000

Solidea Micromassage Arm BandsStyle Sizes

Class 1 (15-21mmHg) Price per pairArmsleeve S, M, L, XL 2970

504

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSSolidea Relax Unisex

Style SizesClass 1 (18-21mmHg) Price per pairBelow Knee Closed Toe S,M,L,XL,XXL 1071Below Knee Open Toe S,M,L,XL,XXL 1071

Class 2 (25-32mmHg) Price per pairBelow Knee Closed Toe S,M,L,XL,XXL 1071Below Knee Closed Toe Plus Line S,M,L,XL,XXL 1071Below Knee Open Toe S,M,L,XL,XXL 1071Below Knee Open Toe Plus Line S,M,L,XL,XXL 1071

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe S,M,L,XL,XXL 2970Below Knee Open Toe Plus Line S,M,L,XL,XXL 2970

Solidea Wonder ModelStyle Sizes

Class 1 (18-21mmHg) Price per pairTights Closed Toe S,M,ML,L,XL,XXL 3960Tights Open Toe S,M,ML,L,XL,XXL 3960

Class 2 (25-32mmHg) Price per pairTights Closed Toe S,M,ML,L,XL,XXL 4490Tights Open Toe S,M,ML,L,XL,XXL 4490

varicaseStyle SizesClass 1(18-21mmHg) Price per pairBelow Knee Open Toe S, M, L, XL, XXL 1777Below Knee Open Toe Petite S, M, L, XL, XXL 1777Below Knee Closed Toe S, M, L, XL, XXL 1777Below Knee Closed Toe Petite S, M, L, XL, XXL 1777Thigh Length Petite Silicone Top Open Toe S, M, L, XL, XXL 2465Thigh Length Silicone Top Open Toe S, M, L, XL, XXL 2465Thigh Length Petite Silicone Top Closed Toe S, M, L, XL, XXL 2465Thigh Length Silicone Top Closed Toe S, M, L, XL, XXL 2465

Class 2 (23-32mmHg) Price per pairBelow Knee Open Toe S, M, L, XL, XXL 1914Below Knee Open Toe Petite S, M, L, XL, XXL 1914Below Knee Closed Toe S, M, L, XL, XXL 1914Below Knee Closed Toe Petite S, M, L, XL, XXL 1914Thigh Length Petite Silicone Top Open Toe S, M, L, XL, XXL 2654Thigh Length Silicone Top Open Toe S, M, L, XL, XXL 2654Thigh Length Petite Silicone Top Closed Toe S, M, L, XL, XXL 2654Thigh Length Silicone Top Closed Toe S, M, L, XL, XXL 2654Compression Sock Below Knee Closed Toe Unisex S, M, L, XL, XXL 1900

Class 3 (34-46mmHg) Price per pairBelow Knee Open Toe S, M, L, XL, XXL 1966Below Knee Open Toe Petite S, M, L, XL, XXL 1966Thigh Length Petite Silicone Top Open Toe S, M, L, XL, XXL 3062Thigh Length Silicone Top Open Toe S, M, L, XL, XXL 3062

505

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSVenoflex Micro

Style Lengths SizesClass 1 (18-21mmHg) Price per pairBelow Knee Closed Toe Short, Long 1, 2, 3, 4, 5, 6 2299Below Knee Open Toe Short, Long 1, 2, 3, 4, 5, 6 2299Thigh High Closed Toe with Dotted Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Lace Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Dotted Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Lace Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Dotted Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Lace Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Dotted Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Lace Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Tights Closed Toe Normal, Long 1, 2, 3, 4, 5, 6 5080Tights Open Toe Normal, Long 1, 2, 3, 4, 5, 6 5080

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Short, Long 1, 2, 3, 4, 5, 6 2299Below Knee Open Toe Short, Long 1, 2, 3, 4, 5, 6 2299Thigh High Closed Toe with Dotted Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Lace Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Dotted Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Lace Silicone Top Band

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Dotted Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Closed Toe with Lace Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Dotted Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Thigh High Open Toe with Lace Silicone Top Band Plus

Short, Normal, Long 1, 2, 3, 4, 5, 6 4120

Tights Closed Toe Normal, Long 1, 2, 3, 4, 5, 6 5080Tights Open Toe Normal, Long 1, 2, 3, 4, 5, 6 5080

506

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Part IXA-Appliances

LYMPHOEDEMA GARMENTSVenosan 5000

Style SizesClass 1 (5001) (18-21mmHg) Price per pairBelow Knee S, M, L, XL 2734Thigh High with Self Supporting Silicone Top Band S, M, L, XL 5227Class 2 (5002) (23-32mmHg) Price per pairBelow Knee S, M, L, XL 2734Thigh High with Self Supporting Silicone Top Band S, M, L, XL 5227Class 3 (5003) (34-46mmHg) Price per pairBelow Knee S, M, L, XL 2734

Venosan 7000Style Sizes Length

Class 2 (7002) (23-32mmHg) Price per pairBelow Knee Open Toe S, M, L, XL Long/Short 2858Below Knee Closed Toe S, M, L, XL Long/Short 2858Thigh High with Self Supporting Plain Top Open Toe S, M, L, XL Long/Short 3904Thigh High with Self Supporting Plain Top Closed Toe S, M, L, XL Long/Short 3904

Class 3 (7003) (34-46mmHg) Price per pairBelow Knee Open Toe S, M, L, XL Long/Short 2858Below Knee Closed Toe S, M, L, XL Long/Short 2858Thigh High with Self Supporting Plain Top Open Toe S, M, L, XL Long/Short 3904Thigh High with Self Supporting Plain Top Closed Toe S, M, L, XL Long/Short 3904

Venotrain MicroStyle Lengths Sizes

Class 1(18-21mmHg) Price per pairBelow Knee Closed Toe Short, Long S,M,L,XL 2124Below Knee Open Toe Short, Long S,M,L,XL 2124Below Knee Plus Closed Toe Short, Long S,M,L,XL 2124Below Knee Plus Open Toe Short, Long S,M,L,XL 2124Thigh High Closed Toe with Top Band Short, Long S,M,L,XL 2574Thigh High Open Toe with Top Band Short, Long S,M,L,XL 2574Thigh High Plus Closed Toe with Top Band Short, Long S,M,L,XL 2574Thigh High Plus Open Toe with Top Band Short, Long S,M,L,XL 2574

Price eachTights Closed Toe Short, Long S,M,L,XL 3564Tights Open Toe Short, Long S,M,L,XL 3564Tights Plus Closed Toe Short, Long S,M,L,XL 3564Tights Plus Open Toe Short, Long S,M,L,XL 3564

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Short, Long S,M,L,XL 2169Below Knee Open Toe Short, Long S,M,L,XL 2169Below Knee Plus Closed Toe Short, Long S,M,L,XL 2169Below Knee Plus Open Toe Short, Long S,M,L,XL 2169Thigh High Closed Toe with Top Band Short, Long S,M,L,XL 2736Thigh High Open Toe with Top Band Short, Long S,M,L,XL 2736Thigh High Plus Closed Toe with Top Band Short, Long S,M,L,XL 2736Thigh High Plus Open Toe with Top Band Short, Long S,M,L,XL 2736

Price eachTights Closed Toe Short, Long S,M,L,XL 4014Tights Open Toe Short, Long S,M,L,XL 4014Tights Plus Closed Toe Short, Long S,M,L,XL 4014Tights Plus Open Toe Short, Long S,M,L,XL 4014

507

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

LYMPHOEDEMA GARMENTSVenotrain Soft

Style Lengths SizesClass 1(18-21mmHg) Price per pairBelow Knee Closed Toe Short, Long S,M,L,XL 2034Below Knee Open Toe Short, Long S,M,L,XL 2034Below Knee Plus Closed Toe Short, Long S,M,L,XL 2034Below Knee Plus Open Toe Short, Long S,M,L,XL 2034Thigh High Closed Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Open Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Plus Closed Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Plus Open Toe with Top Band Short, Long S,M,L,XL 2592

Price eachThigh High with Waist Attachment Right Closed Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Right Open Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Left Closed Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Left Open Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Right Closed Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Right Open Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Left Closed Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Left Open Toe Short, Long S,M,L,XL 1764

Class 2 (23-32mmHg) Price per pairBelow Knee Closed Toe Short, Long S,M,L,XL 2034Below Knee Open Toe Short, Long S,M,L,XL 2034Below Knee Plus Closed Toe Short, Long S,M,L,XL 2034Below Knee Plus Open Toe Short, Long S,M,L,XL 2034Thigh High Closed Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Open Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Plus Closed Toe with Top Band Short, Long S,M,L,XL 2592Thigh High Plus Open Toe with Top Band Short, Long S,M,L,XL 2592

Price eachThigh High with Waist Attachment Right Closed Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Right Open Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Left Closed Toe Short, Long S,M,L,XL 1764Thigh High with Waist Attachment Left Open Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Right Closed Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Right Open Toe Short, Long S,M,L,XL 1764Thigh High Plus with Waist Attachment Left Closed Toe Short, LongShort,

LongS,M,L,XL 1764

Thigh High Plus with Waist Attachment Left Open Toe S,M,L,XL 1764

508

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

MICRO-ENEMA - SODIUM CITRATE eachRelaxit Tube 12 x 5ml 521

NASAL PRODUCTSNasal Aspirator

NoseFrida hygiene filters 20 71NoseFrida nasal aspirator 348Snufflebabe nasal aspirator 432

Nasal Drops - Glucose in GlycerolGlycerdex Nose Drops Dropper Bottle 10ml 1508

Nasal Drops - Sodium Chloride 0.9%Almus Pharmaceuticals Dropper Bottle 10ml 99Mandanol Dropper Bottle 10ml 99Orbis Consumer Products Ltd Dropper Bottle 10ml 95RX Farma Dropper Bottle 10ml 99

Nasal PowderCare Allergy Defence Powder Spray 500mg (200 dose) 432

Nasal SprayAqua Maris Daily Spray 30ml 249Aqua Maris Junior Spray 30ml 249Aqua Maris Strong Spray 30ml 277Aqua Maris Baby Drops 15ml 239

GeloSitin Spray 15ml 525

Nozoil Spray 10ml 403

SterimarIsotonic Spray 50ml 249Hypertonic Spray 50ml 289

Sterimar Baby Spray 50ml 249

Sterimar Kids Spray 50ml 289

509

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

NIPPLE SHIELDS, PLASTICS 69(Not to be confused with Breast Shields)

ORAL FILM FORMING AGENTSCaphosol (1 dose = 1 x Caphosol A (15ml) + 1 x Caphosol B (15ml)) 30 doses 3428

120 doses 13070Caphosol Dispersible 30 tablets 3428Episil Oral Spray 10ml 4921Gelclair 21 x 15ml Sachets 3396GeloRevoice Lozenges 20 lozenges 500gelX Oral Gel 300ml 3361

Oral Spray 100ml 4921Gengigel Gel 20ml tube 370

Mouthrinse 150ml bottle 455Mucosamin (formerly Mucodis) Mouthwash 250ml bottle 1900

Oromucosal Spray 30ml 1900MuGard 250ml bottle 2000

OSCILLATING POSITIVE EXPIRATORY PRESSURE DEVICEAcapella 4050Aerobika 4550Flutter 4050Lungflute 3750PARI O-PEP 2728RC-Cornet 3995RC-Cornet Plus 3853

PEAK FLOW METERSsyn: P.F.M.(Non-powered; hand-held)Portable meters intended for single-patient use.The standard range is suitable for use by both adults and children.The low range model is for adults or children with severely restricted airflow.

The Peak Flow Meters standard range will conform to the relevant current EN ISO standard. The Peak Flow Meters low range will be CE marked and comply with the relevant current EN ISO standard in all aspects except for a reduced measurement range.

Manufacturer Order NoStandard RangeClement Clarke 3103388 708Clement Clarke AirZone 3130160 469Fyne Dynamics Pinnacle 72000EU 650Medicareplus International Ltd 60482 450Micro Medical MPE8200EU 650nSpire PiKo-1 Electronic Peak Flow/FEV1 Meter 346005-EU 950nSpire Pocket Peak Flow Meter 208(EU)/F 653Philips Respironics PersonalBest 1022973 686Vitalograph 43602 483Vitalograph Child 43703 483Vitalograph myPEF 43950 708

510

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pPEAK FLOW METERS each

Low Range CE markedClement Clarke 3104708 714Medicareplus International Ltd 60536 650nSpire Pocket Peak Flow Meter 209(EU)/F 653

NB: 1. "Low range" to be supplied only where specifically ordered.2. Where the brand or manufacturer is not stated by the prescriber and has not been endorsed, the basic

price must not exceed 450p (Standard range) and 650p (Low Range). 3. Replacement recording charts (FP1010) are given by the prescribing doctor; they are also available

from pharmacists.Replacement Mouthpiece (Plastics)(Not interchangeable between brands or manufacturers)

Replacement mouthpiece - suitable for both standard and low range models for use byadults or childrenClement Clarke 38Micro Medical 38nSpire 38

PELVIC TONING DEVICESAquaflex 1395Kegel8 1500PelvicToner 1500

PESSARIESRingPolythene 7.5mm thick, 50-80mm (rising in 3mm) 215Specification 20(ii) 7.5mm thick, 80-100mm (rising in 5mm) 215

PVC 1.25cm thick, 50-80mm (rising in 3mm) 233Specification 20(iii) 1.25cm thick, 85-100mm (rising in 5mm) 233

1.25cm thick, 110mm 233

Bioteque America (R&J Medical Ltd)RingSilicone With Support Size 0, 44mm (Outer Diameter) 2000

Size 1, 51mm (Outer Diameter) 2000Size 2, 57mm (Outer Diameter) 2000Size 3, 64mm (Outer Diameter) 2000Size 4, 70mm (Outer Diameter) 2000Size 5, 76mm (Outer Diameter) 2000Size 6, 83mm (Outer Diameter) 2000Size 7, 89mm (Outer Diameter) 2000Size 8, 95mm (Outer Diameter) 2000

Size 9, 102mm (Outer Diameter) 2000Without Support Size 0, 44mm (Outer Diameter) 2000

Size 1, 51mm (Outer Diameter) 2000Size 2, 57mm (Outer Diameter) 2000Size 3, 64mm (Outer Diameter) 2000Size 4, 70mm (Outer Diameter) 2000Size 5, 76mm (Outer Diameter) 2000Size 6, 83mm (Outer Diameter) 2000Size 7, 89mm (Outer Diameter) 2000Size 8, 95mm (Outer Diameter) 2000

Size 9, 102mm (Outer Diameter) 2000

511

11/2019 Part IXAAPPLIANCES

PESSARIES eachGellhornSilicone Standard Stem Size 0, 38mm (Outer Diameter) 2150

Size 1, 45mm (Outer Diameter) 2150Size 2, 51mm (Outer Diameter) 2150Size 3, 57mm (Outer Diameter) 2150Size 4, 64mm (Outer Diameter) 2150Size 5, 70mm (Outer Diameter) 2150Size 6, 76mm (Outer Diameter) 2150Size 7, 83mm (Outer Diameter) 2150Size 8, 89mm (Outer Diameter) 2150

Short Stem Size 0, 38mm (Outer Diameter) 2150Size 1, 45mm (Outer Diameter) 2150Size 2, 51mm (Outer Diameter) 2150Size 3, 57mm (Outer Diameter) 2150Size 4, 64mm (Outer Diameter) 2150Size 5, 70mm (Outer Diameter) 2150Size 6, 76mm (Outer Diameter) 2150Size 7, 83mm (Outer Diameter) 2150Size 8, 89mm (Outer Diameter) 2150

GBUK vaginal pessary (GBUK Healthcare) RingSilicone Without Support Size 0, 44mm (Outer Diameter) 1900

Size 1, 51mm (Outer Diameter) 1900Size 2, 57mm (Outer Diameter) 1900Size 3, 64mm (Outer Diameter) 1900Size 4, 70mm (Outer Diameter) 1900Size 5, 76mm (Outer Diameter) 1900Size 6, 83mm (Outer Diameter) 1900Size 7, 89mm (Outer Diameter) 1900Size 8, 95mm (Outer Diameter) 1900

GellhornSilicone Standard Stem Size 0, 38mm (Outer Diameter) 2049

Size 1, 45mm (Outer Diameter) 2049Size 2, 51mm (Outer Diameter) 2049Size 3, 57mm (Outer Diameter) 2049Size 4, 64mm (Outer Diameter) 2049Size 5, 70mm (Outer Diameter) 2049Size 6, 76mm (Outer Diameter) 2049Size 7, 83mm (Outer Diameter) 2049Size 8, 89mm (Outer Diameter) 2049

Short Stem Size 0, 38mm (Outer Diameter) 2049Size 1, 45mm (Outer Diameter) 2049Size 2, 51mm (Outer Diameter) 2049Size 3, 57mm (Outer Diameter) 2049Size 4, 64mm (Outer Diameter) 2049Size 5, 70mm (Outer Diameter) 2049Size 6, 76mm (Outer Diameter) 2049Size 7, 83mm (Outer Diameter) 2049Size 8, 89mm (Outer Diameter) 2049

Appliance Size or Weight Basic Price p

512

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pPESSARIES each

Milex (Mediplus Ltd)RingSilicone Without Support/Folding Size 0, 44mm (Outer Diameter) 2171

Size 1, 51mm (Outer Diameter) 2171Size 2, 57mm (Outer Diameter) 2171Size 3, 64mm (Outer Diameter) 2171Size 4, 70mm (Outer Diameter) 2171Size 5, 76mm (Outer Diameter) 2171Size 6, 83mm (Outer Diameter) 2171Size 7, 89mm (Outer Diameter) 2171Size 8, 95mm (Outer Diameter) 2171

Size 9, 102mm (Outer Diameter) 2171Size 10, 108mm (Outer Diameter) 2171Size 11, 114mm (Outer Diameter) 2171Size 12, 121mm (Outer Diameter) 2171Size 13, 127mm (Outer Diameter) 2171

Silicone With Support/Folding Size 0, 44mm (Outer Diameter) 2171Size 1, 51mm (Outer Diameter) 2171Size 2, 57mm (Outer Diameter) 2171Size 3, 64mm (Outer Diameter) 2171Size 4, 70mm (Outer Diameter) 2171Size 5, 76mm (Outer Diameter) 2171Size 6, 83mm (Outer Diameter) 2171Size 7, 89mm (Outer Diameter) 2171Size 8, 95mm (Outer Diameter) 2171

Size 9, 102mm (Outer Diameter) 2171Size 10, 108mm (Outer Diameter) 2171Size 11, 114mm (Outer Diameter) 2171Size 12, 121mm (Outer Diameter) 2171Size 13, 127mm (Outer Diameter) 2171

GellhornSilicone Flexible 38mm (Outer Diameter) 2338

44mm (Outer Diameter) 233851mm (Outer Diameter) 233857mm (Outer Diameter) 233864mm (Outer Diameter) 233870mm (Outer Diameter) 233876mm (Outer Diameter) 233883mm (Outer Diameter) 233889mm (Outer Diameter) 233895mm (Outer Diameter) 2338

Short Stem 38mm (Outer Diameter) 233844mm (Outer Diameter) 233851mm (Outer Diameter) 233857mm (Outer Diameter) 233864mm (Outer Diameter) 233870mm (Outer Diameter) 233876mm (Outer Diameter) 233883mm (Outer Diameter) 233889mm (Outer Diameter) 233895mm (Outer Diameter) 2338

513

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

PHYSICAL DEBRIDEMENT DEVICE eachPhysical Debridement Accessories

CPI Extremity Bag Standard with Solidifier EB100-S 7500CPI Extremity Bag Long with Solidifier EB100-SL 7500CPI Pulsar Irrigator P1200 5500CPI Sacral Bag Standard with Solidifier AB200-S 7500CPI Sacral Bag Wide with Solidifier AB200-SW 7500

VersaJet Exact Handset 45/8mm 50637 26715VersaJet Exact Handset 45/14mm 50636 26715

VersaJet II Exact Handset 45/8mm 6680042 26715VersaJet II Exact Handset 45/14mm 6680041 26715

Physical Debridement DressingHydroClean plus 4cm round 406

5.5cm round 4827.5cm x 7.5cm 53310cm x 10cm 604

4cm round cavity 4317.5cm x 7.5cm cavity 553

HydroClean plus mini 3cm round 238

Physical Debridement PadDebriSoft 10cm x 10cm 661

13cm x 20cm 1638Debrisoft Lolly 595Prontosan Debridement Pad 560UCS Debridement 329

514

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

PRESSURE OFFLOADING DEVICE eachKnee Pressure Offloading Device

Action RelieverLeft, Right, Medial, Lateral Size 1-8 19500

Plantar Pressure Offloading DeviceBeneFoot Medical Shoe

Original Post Op(male) POMS - POMXL Small, Medium, Large, Extra Large 1299(female) POWS - POWL Small, Medium, Large 1299(paediatric) POPD One Size 1299

High Top(male) POHTMS - POHTMXL Small, Medium, Large, Extra Large 1699(female) POHTWS - POHTWL Small, Medium, Large 1699(paediatric) POHTPD One Size 1699

Cellona ShoeChildren 16471 Paediatric (size 25-30) 1618

16472 XS (size 31-34) 1618Adult 16473 S (size 35-38) 1618

16474 M (size 39-41) 161816475 L (size 42-43) 161816476 XL (size 44-47) 1618

KerrapedAll Purpose Boot Small, Medium, Large, Extra Large 1792

Kerraped Plantar Ulcer Shoe SystemSingle Boot + PegAssist Insole

Small, Medium, Large, Extra Large KPUC002-KPUC005 5857PegAssist Insole (replacement)

Small, Medium, Large, Extra Large KPUI002-KPUI005 2694Kerraped Plus

All Purpose Boot Small, Medium, Large, Extra Large 1950

Liqua Care per pairDiabetic FlowGel Orthotics

9-3536 Size 35-36 17459-3738 Size 37-38 17459-3940 Size 39-40 17459-4142 Size 41-42 17459-4344 Size 43-44 17459-4546 Size 45-46 1745

VACOcast eachDiabetic Small VPCD-01-1-S 14900

Medium VPCD-01-1-M 14900Large VPCD-01-1-L 14900

515

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pPOTASSIUM HYDROXIDE SOLUTION each

Molutrex (5%) 3ml 999MolluDab (5%) 2ml 1350

PROSTHETIC ADHESIVESEdge Adhesive 5g 430

25g 1643

PROTECTIVESHand per pair

Microair Barrier Gloves Small, Medium, Large, Extra Large, ExtraExtra Large

3389

EMA Film Gloves-Disposable Specification21

Small, Medium, Large pack of 30

Dispos-A-Gloves (non-sterile) 243pack of 100

331Nitrile Gloves

Finite P Indigo AF Small, Medium, Large pack of 100700

Nitrile-Pro Small, Medium, Large, Extra Large pack of 200850

Premier Prestige Nitrile Blue Small, Medium, Large, Extra Large pack of 150680

Vitrex Small, Medium, Large pack of 50389

Gloves - Polythene, 100 gauge pack of 25(Polythene Occlusives, Disposable For use as occlusives with medicated creams.) 62

Foot per pairMicroair Barrier Ankle Socks 4 - 5, 6 - 6 1/2, 7 - 7 1/2, 8 - 9 1/2,

10 1/2 - 12 1/23389

Microair Barrier Trainer Socks 4 - 5, 6 - 6 1/2, 7 - 7 1/2, 8 - 9 1/2, 10 1/2 - 12 1/2

3389

Limb eachBloccsAdult P6370 Short arm 1050

P6372 Full arm 1050P6374 Short leg 1050P6376 Full leg 1195P6386/S Elbow/PICC Small 950P6386/M Elbow/PICC Medium 950P6386/L Elbow/PICC Large 950

Child P6371/S Short arm 1-3 years 1000P6371/M Short arm 4-9 years 1000P6371/L Short arm 10-14 years 1000P6373/XS Full arm 1-3 years 1000P6373/S Full arm 4-7 years 1000P6373/M Full arm 8-10 years 1000P6373/L Full arm 11-14 years 1000P6375/S Short leg 1-3 years 1000P6375/M Short leg 4-9 years 1000P6375/L Short leg 10-14 years 1000P6377/S Full leg 1-3 years 1000P6377/M Full leg 4-9 years 1000P6377/L Full leg 10-14 years 1000P6385/XS Elbow/PICC 1-3 years 950P6385/S Elbow/PICC 4-7 years 950P6385/M Elbow/PICC 8-10 years 950P6385/L Elbow/PICC 11-14 years 950

516

11/2019 Part IXAAPPLIANCES

PROTECTIVESLimb each

buddyAmputee AJ/30 Above joint aperture size 30mm 1089

AJ/40 Above joint aperture size 40mm 1089AJ/50 Above joint aperture size 50mm 1089AJ/70 Above joint aperture size 70mm 1089AJ/90 Above joint aperture size 90mm 1089BJ/30 Below joint aperture size 30mm 1189BJ/40 Below joint aperture size 40mm 1189BJ/50 Below joint aperture size 50mm 1189BJ/70 Below joint aperture size 70mm 1189BJ/90 Below joint aperture size 90mm 1189

Arm SA/30 Short arm small aperture size 30mm 1089SA/40 Short arm medium aperture size 40mm 1089SA/50 Short arm large aperture size 50mm 1089MA/30 Medium arm small aperture size 30mm 1189MA/40 Medium arm medium aperture size 40mm 1189MA/50 Medium arm large aperture size 50mm 1189

Isolated wounds CC/M40/30 40mm top and 30mm lower apertures 974CC/L50/40 50mm top and 40mm lower apertures 974CC/XL60/50 60mm top and 50mm lower apertures 974

Legs SL/S30 Short leg small aperture size 30mm 1066SL/M40 Short leg medium aperture size 40mm 1066SL/L50 Short leg large aperture size 50mm 1066ML/S30 Medium leg small aperture size 30mm 1076ML/M40 Medium leg medium aperture size 40mm 1076ML/L50 Medium leg large aperture size 50mm 1076LL/S/50 Long leg small aperture size 50mm 1225LL/M/70 Long leg medium aperture size 70mm 1225LL/L/90 Long leg large aperture size 90mm 1225

LimbO Waterproof ProtectorAdult 1/2 leg MP76 Slim build 1056

MP76S Slim build short leg 1056MP80 Normal build 1056MP80S Normal build, short leg 1056MP180 Large build 1056MP180S Large build, short leg 1056

Adult elbow MP65 Slim to medium build 1295MP75 Medium to large build 1295

Seal-Tight wound care protector20318 PICC/dressing mid-arm cover Small 105020317 PICC/dressing mid-arm cover Medium 105020319 PICC/dressing mid-arm cover Large 1050CV27105 Adult foot/ankle 1050CV27103 Adult short leg 1050CV27106 Adult wide short leg 1050

PULSED ELECTROMAGNETIC STIMULATORActiPatch Back 1395

Knee 1395Muscle & Joint 1395

Appliance Size or Weight Basic Price p

517

11/2019 Part IXAAPPLIANCES

Appliance Size Basic Price pSILK GARMENTS eachDermaSilk

Infant Hat 0-3 months 17253-12 months 1725

12-24 months 1725

Eye Mask One Size 1024

Facial Mask Infant 1669Child 1669

Teen size 2129Adult size 2129

Soft Cup Bra XS - S 3863M - L 3863

XL - XXL 3863

Body Suit 0-3 months 38813-6 months 38906-9 months 4001

9-12 months 410412-18 months 411218-24 months 421624-36 months 4224

3-4 years 4335

Boxer Shorts Adult (Male) XS - S 4237M - L 4237

XL - XXL 4237

Boy’s Briefs 3-6 years 22097-10 years 2209

Girl’s Briefs 3-6 years 22097-10 years 2209

Ladies Briefs Adult (Female) XS - S 3153M - L 3153

XL - XXL 3153

Adult Female Mini Shorts XS - S 3354M - L 3354

XL - XXL 3354

Shirt Roll Neck 3-4 years 47935-6 years 51137-8 years 5326

10-12 years 5540Adult Small - XXL 7878

Shirt Round Neck Adult (Male) Small - XXL 7878Adult (Female) Small - XXL 7878

518

11/2019 Part IXAAPPLIANCES

Appliance Size Basic Price pSILK GARMENTS per pair

Tubular Sleeves 33cm long 277750cm long 3427

Graduated 70cm long 4231

Leggings 0-3 months 27713-6 months 27776-9 months 2888

9-12 months 299312-18 months 299918-24 months 310524-36 months 3111

3-4 years 3222Adult (Male) Small - XXL 7971

Adult (Female) Small - XXL 7971

Gloves Small Child 1502Medium Child 1502

Small Adult 2109Medium Adult 2109

Large Adult 2109Extra Large Adult 2105

Fingerless Gloves Child 3-4 years 1486Child 5-9 years 1486

Adult Small 2085Adult Medium 2085

Adult Large 2085Adult X Large 2085

Adult XX Large 2085per set

Pyjamas 3-4 years 72285-6 years 76747-8 years 8007

10-12 years 8341

per pairComfort Socks Adult 5 - 6 1/2 1863

Adult 7 - 8 1/2 1863Adult 9 - 10 1/2 1863

Adult 11 - 13 1863

per 2 pairsKnee-length Undersocks Standard Length 2466

Longer Length 2466

Thigh Length Undersock Standard Length 3512Longer Length 3512

Undersocks Child 3 - 8 1875Child 9 - 1 1875Child 2 - 5 1875

Adult 5 1/2 - 6 1/2 1875Adult 7 - 8 1/2 1875

Adult 9 - 10 1/2 1875Adult 11 - 13 1875

519

11/2019 Part IXAAPPLIANCES

Appliance Size Basic Price p

SILK GARMENTSDreamSkin each

Eye Mask One Size 1046

Head Mask Infant 1608Child 1608

Teenager 2098Adult 2098

Body Suit 0-3 months 36523-6 months 37046-9 months 3854

9-12 months 391012-18 months 396118-24 months 401524-36 months 4068

3-4 years 4176

Shirt Polo Neck 3-4 years 47235-6 years 50397-8 years 5249

9-10 years 535411-12 years 5459

Adult (Male) Small - XXL 7764Adult (Female) Small - XXL 7764

Shirt Round Neck 3-4 years 47245-6 years 49347-8 years 5145

9-10 years 525011-12 years 5355

Adult (Male) Small - XXL 7764Adult (Female) Small - XXL 7764

Briefs and Fitted Boxers 3-4 years 22025-6 years 22027-8 years 2202

9-10 years 220211-12 years 2202

Adult (Male) Small - XXL 3463Adult (Female) Small - XXL 3253

per pairTubular Sleeves 33cm long 2715

50cm long 3377

520

11/2019 Part IXAAPPLIANCES

Appliance Size Basic Price pSILK GARMENTS per pair

Baby Leggings with foldaway feet 0-3 months 25923-6 months 26446-9 months 2782

9-12 months 283612-18 months 288918-24 months 294324-36 months 2996

3-4 years 3104

Leggings (Footless) 3-4 years 31045-6 years 32577-8 years 3310

9-10 years 336211-12 years 3415

Adult (Male) Small - XXL 7855Adult (Female) Small - XXL 7855

Gloves Small Child 1469Medium Child 1469

Small Adult 2062Medium Adult 2062

Large Adult 2062Extra Large Adult 2062

per setPyjamas 3-4 years 6963

5-6 years 73927-8 years 7713

9-10 years 787711-12 years 8035

per 2 pairsLiner Socks Child 3 - 5 1/2 1848

Child 6 - 8 1/2 1848Child 9 - 12 1848

Child 12 1/2- 3 1/2 1848Child 4 - 5 1/2 1848

Adult (Female) 4 - 5 1/2 1848Adult (Female) 6 - 8 1/2 1848

Adult (Male) 6 - 8 1/2 1848Adult (Male) 9 - 11 1848

Heel-Less Undersocks One Size 2430

Skinnies Silk eachClavas 6 months - 5 years 1553

5-14 years 1553

Leggings 6-24 months 26522-5 years 29785-8 years 3137

8-11 years 343011-14 years 3766Adult Small 7342

Adult Medium 7552Adult Large 7733

Tops 6 - 24 months 46642-5 years 49825-8 years 5194

8-11 years 540711-14 years 5512Adult Small 7342

Adult Medium 7552Adult Large 7733

521

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size Basic Price pSILK GARMENTS each

Baby Grow 0-3 months 37573-6 months 3757

6-12 months 3973

Shorts 6-24 months 20972-5 years 20975-8 years 2097

8-11 years 209711-14 years 2307Adult Small 3985

Adult Medium 4038Adult Large 4090

Vests Sleeveless Child 6-24 months 4436Child 2-5 years 4489Child 5-8 years 4541

Child 8-11 years 4594Child 11-14 years 4627

Adult Small 7080Adult Medium 7237

Adult Large 7342

Short Sleeve Vests 6-24 months 45522-5 years 46675-8 years 4720

8-11 years 473211-14 years 4772Adult Small 7237

Adult Medium 7447Adult Large 7657

per pairMittens 0-24 months 1415

2-8 years 14158-14 years 1415

Gloves Child Small 1387Child Medium 1415

Child Large 1468Adult Small 1886

Adult Medium 1908Adult Large 1989

Tubular Sleeves 33cm long 255650cm long 3069

Socks 6 months - 8 years 17578-14 years 1757

Knee Length Sock Child Small 2349Child Medium 2349

Child Large 2349Adult Small 2349

Adult Medium 2349Adult Large 2349

Adult XL 2349

522

11/2019 Part IXAAPPLIANCES

Appliance Size Basic Price p

SODIUM HYALURONATE INJECTION eachTendoVis 1 injection 6950SportVis 2 injections 13900

SPACER/HOLDING CHAMBER DEVICES eachA2A Spacer 415

A2A Spacer with small or medium mask 668

Able Spacer 439

Able Spacer with either small (infant) or medium (child) mask 716

Aerochamber Plus 499

Aerochamber Plus with adult, child or infant face mask 833

AeroChamber Plus Flow-Vu Anti-Static 522AeroChamber Plus Flow-Vu Anti-Static youth (5+ years) 522

AeroChamber Plus Flow-Vu Anti-Static with small mask for infants (0-18 months) 872AeroChamber Plus Flow-Vu Anti-Static with medium mask for children (1-5 years) 872AeroChamber Plus Flow-Vu Anti-Static with adult small mask 872AeroChamber Plus Flow-Vu Anti-Static with adult large mask 872

Antistatic Space Chamber Plus 445

Antistatic Space Chamber Plus with small mask 745Antistatic Space Chamber Plus with medium mask 745Antistatic Space Chamber Plus with large mask 745

Antistatic Space Chamber Plus Compact 445

Antistatic Space Chamber Plus Compact with small mask 745Antistatic Space Chamber Plus Compact with medium mask 745Antistatic Space Chamber Plus Compact with large mask 745

pack of 2Clip-Tone E 290

eachEasyChamber Spacer 398EasyChamber Spacer with infant mask 653EasyChamber Spacer with child mask 655EasyChamber Spacer with adult mask 659

e-Chamber La Grande Spacer 445e-Chamber La Petite Spacer 435e-Chamber La Petite Spacer with mask 650

pack of 2Flo-Tone MDI (regular fit) 290Flo-Tone MDI (circular fit) 290

523

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

SPACER/HOLDING CHAMBER DEVICES eachFree Breath Spacer 450

Free Breath Spacer with removable adult, child or infant face mask 720

OptiChamber 428

OptiChamber Diamond 449OptiChamber Diamond with small LiteTouch mask (0-18 months) 749OptiChamber Diamond with medium LiteTouch mask (1-5 years) 749OptiChamber Diamond with large LiteTouch mask (5 years - adult) 749

Pocket Chamber 418

Pocket Chamber with infant, child, teenager or adult mask 975

Space Chamber Plus 426

Space Chamber Plus with small, medium or large mask 698Space Chamber Plus Compact 426Space Chamber Plus Compact with small, medium or large mask 698

Volumatic 388

Volumatic paediatric with mask 683

P Vortex 628

P Vortex with baby mask (age 0-2 years) 799P Vortex with child mask (age 2+ years) 799P Vortex with adult mask 799

zerostat VT spacer 426

SPINAL ALIGNMENT CUSHION eachRophi Cushion 18cm x 18cm x 9cm 1200

Pto be deleted 1 January 2020

STOCKINETTEWhen Elasticated Stockinette is ordered or prescribed without qualification, the term is to be interpreted asElasticated Tubular Bandage.Cotton Stockinette, Bleached BP 1988 Heavyweight 2.5cm x 1m 40(Syn: Cotton Stockinette) 5cm x 1m 62

7.5cm x 1m 7410cm x 6m 509

Appliance Size Basic Price p

524

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

STOCKINETTECotton Impregnated with Antimicrobial Agents - Garments

Appliance Size Basic Price pskintoskin pack of 1 set

Newborn Kit summer 3400winter 3900

pack of 1Babygrow 0-3 months 1695

3-6 months 16956-9 months 1695

9-12 months 169512-18 months 169518-24 months 1695

pack of 2Body Suit (winter) 0-3 months 3200

3-6 months 32006-9 months 3200

9-12 months 320012-18 months 320018-24 months 3200

T-Shirt (long sleeve) 2-3 years 33004-5 years 33006-7 years 3300

8-10 years 380011-13 years 3800

Adult Small - XL 4400T-Shirt (short sleeve) 2-3 years 3200

4-5 years 32006-7 years 3200

8-10 years 370011-13 years 3700

Adult Small - XL 4300Leggings (footless) 2-3 years 3600

4-5 years 36006-7 years 3600

8-10 years 390011-13 years 3900

Leggings (footless)(available as female and male) Adult Small - XL 4800Leggings with feet 0-3 months 2800

3-6 months 28006-9 months 2800

9-12 months 280012-18 months 280018-24 months 2800

Boxer (female) 2-3 years 22004-5 years 22006-7 years 2200

8-10 years 260011-13 years 2600

Adult Small - XL 2600Boxer (male) 2-3 years 2300

4-5 years 23006-7 years 2300

8-10 years 270011-13 years 2700

Adult Small - XL 2700pack of 3 pairs

Socks Child 22-24 1800Child 25-27 1800Child 28-30 1800Child 31-33 2200Child 34-36 2200Child 36-38 2200Child 37-39 2200Adult 39-41 2200Adult 42-45 2200

525

11/2019 Part IXAAPPLIANCES

STOCKINETTEElasticated Nylon/Elastane Stockinette - Garments

Appliance Size Basic Price p

Skinnies WEB eachSkull Cap 0-5 years 3500

5-11 years 350011-14 years 3500

S, M, L 4050Clava 0-5 years 3500

5-11 years 350011-14 years 3500

S, M, L 4050

Round Top Long Sleeve 0-24 months 85002-7 years 8500

7-11 years 850011-14 years 8500

XS, S, M, L, XL 9900Round Top Short Sleeve 0-24 months 7500

2-7 years 75007-11 years 7500

11-14 years 7500XS, S, M, L, XL 9000

High Top Long Sleeve 0-24 months 90002-7 years 9000

7-11 years 900011-14 years 9000

XS, S, M, L, XL 10575High Top Short Sleeve 0-24 months 8000

2-7 years 80007-11 years 8000

11-14 years 8000XS, S, M, L, XL 9675

Wrap Top Long Sleeve XS, S, M, L, XL 14850Wrap Top Short Sleeve XS, S, M, L, XL 13500Wrap Top Sleeveless XS, S, M, L, XL 12150Single Arm Top XS, S, M, L, XL 7200

Arm Tube 0-5 years 45005-11 years 4500

11-14 years 4500S, M, L 5175

Lower Leg Tube 0-5 years 45005-11 years 4500

11-14 years 4500S, M, L 5175

Upper Leg Tube 0-5 years 45005-11 years 4500

11-14 years 4500S, M, L 5175

Waist Tube 0-5 years 45005-11 years 4500

11-14 years 4500S, M, L 5175

526

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

STOCKINETTE per pairLeggings 0-24 months 7500

2-7 years 75007-11 years 7500

11-14 years 7500XS, S, M, L, XL 8325

Crotchless Leggings XS, S, M, L, XL 8325Single Leg Leggings XS, S, M, L, XL 7200

Shorts 0-24 months 50002-7 years 5000

7-11 years 500011-14 years 5000

XS, S, M, L, XL 5850Crotchless Shorts XS, S, M, L, XL 5850Single Leg Shorts XS, S, M, L, XL 5850

Socks 0-5 years 35005-11 years 3500

11-14 years 3500S, M, L 4050

Gloves Full 5 Digit 0-5 years 45005-11 years 4500

11-14 years 4500S, M, L 5175

Gloves Half 5 Digit 0-5 years 40005-11 years 4000

11-14 years 4000S, M, L 4500

Gloves 2 Digit S, M, L 4050Mitten S, M, L 4050

Elasticated Surgical Tubular Stockinette Foam Padded each(Tubipad)Specification 25Heel, Elbow, Knee small 'P4' 6.5cm x 60cm 304

medium 'P4X' 7.5cm x 60cm 328large 'P5' 10cm x 60cm 351

Sacral medium 'P9' 28cm x 27cm 1551large 'P9' 35cm x 27cm 1551

Appliance Size Basic Price p

527

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

STOCKINETTEElasticated Tubular Bandage BP(Elasticated Surgical Tubular Stockinette; ESTS; Elasticated Stockinette)

Basic Price p each

Size 4.5 cm 6.25 cm 6.75 cm 7.5 cm 8.75 cm 10.0 cm 12.0 cm 17.5 cm

Ref A B C D E F G JQuantity 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1m 0.5m 1mCLINIgrip 62 112 62 111 66 118 67 120 75 127 75 127 78 150 94 162Comfigrip - - 61 110 65 117 66 119 74 126 74 126 77 147 - -easiGRIP - - 62 112 66 119 68 121 75 128 75 128 78 150 - -Eesiban ESTS

- - 87 157 95 166 95 166 105 180 105 180 109 209 - -

Surgrip - - 58 105 62 112 63 114 71 120 71 120 74 142 - -Tubigrip - - 100 181 109 191 109 191 120 207 120 207 125 239 - -

1. Where the quantity is not stated by the prescriber the 0.5 metre length should be supplied.2. Where the size is not stated by the prescriber, the size supplied should be endorsed. 3. Where the brand is not stated by the prescriber the basic price of this stockinette must not exceed:

Size and Quantity each (p) each (p) each (p)4.5cm x 0.5m 62 7.5cm x 0.5m 63 12.00cm x 0.5m 744.5cm x 1.0m 112 7.5cm x 1.0m 114 12.00cm x 1.0m 1426.25cm x 0.5m 58 8.75cm x 0.5m 71 17.50cm x 0.5m 946.25cm x 1.0m 105 8.75cm x 1.0m 120 17.50cm x 1.0m 1626.75cm x 0.5m 62 10.00cm x 0.5m 716.75cm x 1.0m 112 10.00cm x 1.0m 120

Elasticated Viscose Stockinette - Bandage(Lightweight Elasticated Viscose Tubular Bandage)

Basic Price p each

Small Limb

3.5cm(Red Line)

Medium Limb 5.0cm

(Green Line)

Large Limb 7.5cm

(Blue Line)

Trunk (Child) 10.75cm

(Yellow Line)

Trunk (Adult) 17.5cm (Beige Line)

Trunk (Large Adult)

20cm(Purple Line)

1m 1m 3m 5m 1m 3m 5m 1m 3m 5m 1m 1m 5m

Acti-Fast 2-way stretch

57 59 165 286 78 217 359 122 356 580 187 326 1607

CliniFast 57 59 164 284 78 215 378 121 353 611 185 - -

Comfifast 56 58 162 281 77 213 374 120 349 604 183 - -

Comfifast MultiStretch

2-way stretch

61 63 175 303 83 230 395 130 377 645 249 - -

XCoverflex 83 87 254 439 121 289 572 191 549 965 254 - -

Easifast 65 69 196 342 94 261 452 151 427 723 191 - -

RFlexifast 50 52 146 253 69 191 337 108 314 544 165 - -

Fortuna Fast 85 89 213 305 123 268 375 175 375 604 228 - -

Tubifast 2-way stretch

61 63 176 281 77 213 355 120 349 574 - 320 1590

RPlease refer to manufacturer for availability

Xto be deleted 1 December 2019

528

11/2019 Part IXAAPPLIANCES

STOCKINETTEElasticated Viscose Stockinette - Garments

Appliance Size Basic Price pCliniFast Comfifast

Easywrap Skinnies Viscose

Tubifast 2-way stretch

eachBody Suit up to 3 months - - 1697 -

3-6 months - - 1697 -6-12 months - - 1911 -

Clava 6 months-5 years 591 585 707 -5-14 years 682 675 811 -

Vest Long Sleeve 6-24 months 721 713 1099 11562-5 years 960 950 1441 15425-8 years 1081 1069 1628 1734

8-11 years 1201 1188 1804 192711-14 years 1201 1188 1804 1927Small Adult 1289 1275 2231 -

Medium Adult 1470 1454 2434 -Large Adult 1676 1658 2636 -

Vest Short Sleeve 6-24 months - - 1089 -2-5 years - - 1430 -5-8 years - - 1612 -

8-11 years - - 1793 -11-14 years - - 1793 -Small Adult 1273 - 2220 -

Medium Adult 1451 - 2423 -Large Adult 1655 - 2626 -

Vest Sleeveless 6-24 months - - 1089 -2-5 years - - 1430 -5-8 years - - 1617 -

8-11 years - - 1793 -11-14 years - - 1793 -Small Adult - - 2220 -

Medium Adult - - 2423 -Large Adult - - 2626 -

per pairCycle Shorts Small Adult 1273 - - -

Medium Adult 1451 - - -Large Adult 1655 - - -

Gloves Extra Small Child - - - 580Small Child 508 - 555 580

Medium Child 508 - 560 -Large Child - - 560 -

Large Child, Small Adult 508 - - -Small Adult - - 555 -

Small/Medium Adult,Medium/Large Child

- - - 580

Medium Adult 508 - 560 -Medium/Large Adult - - - 580

Large Adult 508 - 560 -

Knee Length Shorts 6-24 months - - 1089 -2-5 years - - 1430 -5-8 years - - 1617 -

8-11 years - - 1793 -11-14 years - - 1793 -Small Adult - - 2220 -

Medium Adult - - 2423 -Large Adult - - 2626 -

529

11/2019 Part IXAAPPLIANCES

STOCKINETTE CliniFast ComfifastEasywrap

Skinnies Viscose

Tubifast 2-way stretch

per pairKnee Sock Small Child 0-1 - - 1462 -

Medium Child 1-2 - - 1462 -Large Child 2-4 - - 1462 -Small Adult 4-6 - - 1462 -

Medium Adult 6-8 - - 1462 -Large Adult 8-11 - - 1462 -

X Large Adult 11+ - - 1462 -

Leggings 6-24 months - - 1099 -2-5 years 960 950 1441 15425-8 years 1081 1069 1628 1734

8-11 years 1201 1188 1804 192711-14 years 1201 1188 1804 1927Small Adult 1289 1275 2231 -

Medium Adult 1470 1454 2434 -Large Adult 1676 1658 2636 -

Mittens Up to 24 months 300 297 406 -2-8 years 300 297 406 -

8-14 years 300 297 406 -

Socks One Size - - - 488Up to 8 years 300 297 - -6m - 8 years - - 448 -

8-14 years 302 297 448 -

Tights 6-24 months 721 713 - 1156

Appliance Size Basic Price p

530

11/2019 Part IXAAPPLIANCES

STOCKINETTEElasticated Viscose Stockinette Impregnated with Antimicrobial Agents - Garments

Appliance Size Basic Price pSkinnies AM eachClava 6 months-5 years 1061

5-14 years 1217

per pairMittens 0-24 months 609

2-8 years 6498-14 years 699

Socks 6 months-8 years 7728-14 years 872

eachLegs 6-24 months 1649

2-5 years 21625-8 years 2442

8-11 years 270611-14 years 2806

Tops 6-24 months 16492-5 years 21625-8 years 2442

8-11 years 270611-14 years 2806

Adult Tops Small 3347Medium 3651

Large 3954

Adult Legs Small 3347Medium 3651

Large 3954

Babygrow 0-3 months 25463-6 months 2546

6-12 months 2867

per pairChild Gloves Small 833

Medium 840Large 890

Adult Gloves Small 833Medium 840

Large 890

Adult Dermasock Small 2091Medium 2091

Large 2091X Large 2091

Child Dermasock Small 2091Medium 2091

Large 2091

eachShorts 6-24 months 1634

2-5 years 21455-8 years 2426

8-11 years 269011-14 years 2690

531

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

STOCKINETTE eachSleeveless Vests 6-24 months 1634

2-5 years 21455-8 years 2426

8-11 years 269011-14 years 2790

Short Sleeved Vests 6-24 months 16342-5 years 21455-8 years 2418

8-11 years 269011-14 years 2790

Adult Shorts Small 2250Medium 2550

Large 2850

Adult Sleeveless Vests Small 3350Medium 3635

Large 3939

Adult Short Sleeved Vests Small 3330Medium 3635

Large 3939

per pairTubules Elbow 1599

Knee 1790

Appliance Size or Weight Basic Price p

Ribbed Cotton Surgical Tubular Stockinette eachEesiban

Arm/leg (child); arm (adult) 5cm x 5m 255Arm (OS adult); leg (adult) 7.5cm x 5m 336Leg (OS adult) 10cm x 5m 444Trunk (child) 15cm x 5m 640Trunk (adult) 20cm x 5m 739Trunk (OS adult) 25cm x 5m 883

Ribbed Stockinette (Molnlycke) Arm/leg (child); arm (adult) 5cm x 5m 249Arm (OS adult); leg (adult) 7.5cm x 5m 330Leg (OS adult) 10cm x 5m 438Trunk (child) 15cm x 5m 630Trunk (adult) 20cm x 5m 722Trunk (OS adult) 25cm x 5m 871

NB:One 5m length of the relevant width is sufficient to provide two sets of dressing for a pair of limbs or a trunk.Two full suits for an OS adult are provided from one pack each of the 7.5cm, 10cm and 25cm widths.Two full suits for a standard sized adult are provided from one pack each of the 5cm, 7.5cm and 20cm widths.Two full suits for a young child are provided from one pack each of the 5cm and 15cm widths.

Appliance Size Basic Price p

532

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price p

SURGICAL ADHESIVE TAPES eachElastic Adhesive Tape BP 1988 2.5cm x 4.5m 187(Syn: Elastic Surgical Adhesive Tape) stretched

5cm x 4.5m(See Elastic Adhesive Bandage)

Impermeable Plastic Adhesive Tape BP 1988 2.5cm x 3m 148(Syn: Impermeable Plastic Surgical Adhesive Tape) 2.5cm x 5m 222

5cm x 5m 2817.5cm x 5m 409

Impermeable Plastic Synthetic Adhesive Tape BP 1988(Syn: Impermeable Plastic Surgical Synthetic Adhesive Tape)Blenderm 2.5cm x 5m 180

5cm x 5m 343

Blue Dot 2.5cm x 5m 195cm x 5m 36

7.5cm x 5m 54

Permeable, Apertured Non-Woven Synthetic Adhesive Tape BP 1988(Syn:Permeable Non-Woven Surgical Synthetic Adhesive Tape)Blue Dot Plastic Perforated Medical Tape 1.25cm x 10m 15

2.5cm x 10m 30

Blue Dot Retention Soft Cloth Surgical Tape 5cm x 10m 9610cm x 10m 190

Chemifix 2.5cm x 5m 905cm x 5m 125

10cm x 5m 2102.5cm x 10m 100

5cm x 10m 14010cm x 10m 21015cm x 10m 40220cm x 10m 468

Hygiofix 2.5cm x 10m 1105cm x 10m 190

7.5cm x 10m 25510cm x 10m 28515cm x 10m 45520cm x 10m 625

Hypafix 5cm x 5m 14810cm x 5m 249

2.5cm x 10m 1735cm x 10m 275

10cm x 10m 48015cm x 10m 71120cm x 10m 94330cm x 10m 1363

533

11/2019 Part IXAAPPLIANCES

SURGICAL ADHESIVE TAPES eachMefix 2.5cm x 5m 104

5cm x 5m 18510cm x 5m 29615cm x 5m 40320cm x 5m 51630cm x 5m 740

Omnifix 5cm x 10m 24810cm x 10m 41815cm x 10m 617

Primafix 5cm x 10m 165 K

10cm x 10m 242 K

15cm x 10m 358 K

20cm x 10m 441 K

Permeable Non-Woven Synthetic Adhesive Tape BP 1988(Syn: Permeable Non-Woven Surgical Synthetic adhesive Tape)

Size 1.25 cm 2.5 cm 5 cm 7.5 cm

Quantity 5m(p)

10m(p)

5m(p)

10m(p)

5m(p)

10m(p)

5m(p)

10m(p)

NAidpore microporous - - 30 - - - - -Blue Dot

Microporous- - - 21 - - - -

Blue Dot Silk - 28 - 57 - - - -Chemipore 27 - 45 70 95 - - -

Chemipore-PE - - 68 115 120 - 315 -Clinipore 36 - 60 74 101 - - -Leukofix 57 - 92 - 161 - - -Leukopor 51 - 79 - 139 - - -Mediplast 30 - 50 - - - - -Micropore 63 - 93 - 165 - - -Scanpor 43 56 69 92 119 176 - 258

Transpore - - 86 - 151 - - -Where no brand is stated by the prescriber, the basic price of the tape supplied must not exceed

1.25cm x 5m 272.5cm x 5m 45

5cm x 5m 95

Nto be deleted 1 February 2020

Appliance Size or Weight Basic Price p

534

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

SURGICAL ADHESIVE TAPESSoft Silicone Fixation Tape each3M Micropore Silicone Tape (no liner) 2.5cm x 5m 365

5cm x 5m 660

P Hypafix gentle touch 2.5cm x 2.5m 55515cm x 5m 2016

Hypafix skin sensitive (formerly Hypafix gentle touch) 5cm x 5m 1079L10cm x 5m 1597L10cm x 2m 849L

Insil 2cm x 3m 5774cm x 1.5m 577

Mepitac 2cm x 3m 7094cm x 1.5m 709

OpSite Flexifix Gentle 2.5cm x 5m 10605cm x 5m 1987

Siltape 2cm x 3m 5714cm x 1.5m 571

Zinc Oxide Adhesive Tape(Zinc Oxide Surgical Adhesive Tape)Blue Dot Zinc Oxide Tape 2.5cm x 10m 48

Mediplast - Zinc Oxide Plaster 1.25cm x 5m 822.5cm x 5m 119

5cm x 5m 1997.5cm x 5m 299

Strappal 2.5cm x 5m 1425cm x 5m 241

7.5cm x 5m 362

Zinc Oxide Adhesive Tape BP 1988 1.25cm x 5m 106(Syn: Zinc Oxide Surgical Adhesive Tape) 2.5cm x 5m 153

5cm x 5m 2597.5cm x 5m 390

Pto be deleted 1 January 2020

535

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Code No. Metric Gauge Length Needle Basic Price pSURGICAL SUTURES

Absorbable SuturesSterile Synthetic

B Braun Medical Ltd pack of 36Poliglecaprone absorbable suture composed of a copolymer of glycolide andcaprolactoneMonosyn sutureC0023285 2.0 70cm 60mm straight cutting needle (undyed) 7843Polyglycolic acid absorbable suture coated with glyconate which gives rapidstrength loss and absorption profileSafil sutureC1048150 1.5 70cm 18mm 3/8 curved round bodied needle

(violet)6700

Polyglycolic acid absorbable suture coated with glyconate which gives rapidstrength loss and absorption profile (and accelerated degradation)Safil Quick sutureC1046610 1.0 45cm 11mm 3/8 curved reverse cutting needle

with micro point (undyed)12380

C1046420 1.5 70cm 19mm 3/8 curved reverse cutting needle(undyed)

11232

C1046530 2.0 70cm 19mm 3/8 curved reverse cutting needlewith micro point (undyed)

10377

C1046651 3.0 90cm 37mm 1/2 circle tapercut needle (undyed) 10528C1046213 1.5 70cm 16mm 3/8 curved reverse cutting

needle(undyed)9938

C1046657 2.0 70cm 24mm 3/8 curved reverse cutting needlewith micro point (undyed)

10445

EthiconEthicon Monocryl Poliglecaprone absorbable sutures composed of a copolymer of glycolide T-caprolactone:

pack of 12

W3207 2.0 45cm 19mm P needle reverse cutting (undyed) 4271W3205 1.5 45cm 16mm P needle reverse cutting (undyed) 4406

Ethicon PDS ll-polyester polydioxanone absorbable sutures pack of 24W9873T 1.5 45cm 16mm P needle reverse cutting (clear) 9779

Ethicon Vicryl-polyglactin 910 absorbable sutures composed of copolymer ofglycolide and lactide

pack of 12

W9074 1.5 45cm 16mm curved round bodied 2547pack of 24

W9515T 1.5 45cm 19mm P needle reverse cutting(undyed) 7710W9516T 2.0 45cm 19mm P needle reverse cutting(undyed) 7526

Ethicon Vicryl Plus-polyglactin 910 absorbable sutures composed of copolymer ofglycolide and lactide which contain Irgacare MP (Triclosan)

pack of 36

VCP683H 2.0 45cm 24mm P needle reverse cutting (undyed) 13641VCP497H 2.0 45cm 19mm P needle reverse cutting (undyed) 14450

Ethicon Vicryl Rapide-polyglactin 910 absorbable sutures composed of copolymer ofglycolide and lactide which have been specially treated to give rapid strength lossand absorption profiles:

pack of 12

W9915 1.0 45cm 12mm P needle curved reverse cutting 4679W9922 1.5 75cm 19mm P needle curved reverse cutting 4245W9918 1.5 75cm 16mm P needle curved cutting 3757W9932 2.0 75cm 26mm P needle curved reverse cutting 3948W9923 2.0 75cm 19mm P needle curved reverse cutting 3923

536

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Part IXA-Appliances

Code No. Metric Gauge Length Needle Basic Price p

SURGICAL SUTURESNon Absorbable Sutures

Sterile SyntheticB Braun Medical Ltd pack of 36

Polyamide suture, monofilamentDafilon sutureC0936227 1.0 45cm 19mm 3/8 curved reverse cutting needle

with micro point (blue)5509

C0936146 0.7 45cm 16mm 3/8 curved reverse cutting needle withmicro point (blue)

5387

C0933201 1.5 45cm 19mm 3/8 curved reverse cutting needle(blue)

3711

C0932353 2.0 45cm 24mm 3/8 curved reverse cutting needle(blue)

3836

Polypropylene suture, monofilamentPremilene sutureC0090655 1.5 45cm 24mm 3/8 curved reverse cutting needle

with micro point (blue)6357

EthiconSterile Polyamide 6 Suture, Monofilament

pack of 121866G 6-0 45cm (black) 16mm conventional cutting 2036662G 4-0 45cm (black) 19mm reverse cutting 1403W320BG 3-0 45cm (black) 26mm reverse cutting 1450

pack of 24W1621T 2.0 45cm (blue) 19mm P needle reverse cutting 4624

pack of 361666H 5-0 45cm (black) 19mm reverse cutting 6248

Sterile Polypropylene Suture, Monofilament pack of 24W8020T 1.5 45cm (blue) 26mm P needle curved cutting 4806

Skin Adhesives, Sterile eachDermabond ProPen 0.5ml pen 1946Derma+Flex 0.5ml 536Histoacryl 0.5ml 650Histoacryl L 0.5ml 672Indermil 0.5g 650LiquiBand - Adhesive 0.5g 550

- Flow Control Tissue Adhesive 0.5g 550Note:These items are specifically for personal administration by the prescriber.

Skin Closure Strips, Sterile50 envelopes

365 Strips Code No. 36519065 6mm x 75mm 3 strips per env. 522

10 envelopesLeukostrip Code No. 2952 6.4mm x 76mm 3 strips per env. 655

50 envelopesOmnistrip Code No. 540683 6mm x 76mm 3 strips per env. 2494

12 envelopesSteri-strip Code No.GP 41 6mm x 75mm 3 strips per env. 893

Note:These items are specifically for personal administration by the prescriber.

537

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pSWABS (see note * below on sterile swabs) pktN.B. The exact number of single swabs ordered by the prescriber is to be dispensed.(see also Note (ii) below)

Alcohol Impregnated SwabsMedicareplus Skin Prep Wipes 3cm sq 160

100 sachets per pkt

Sterets Skin Cleansing Swab 3cm sq 180100 sachets per pkt

Gauze SwabsGauze Swab Type 13 Light BP 1988, Sterile* 7.5cm sq 43Sterile swabs of folded 8-ply undyed gauze 5 pads per pkt

Gauze Swab Type 13 Light BP 1988, Non Sterile 10cm sq 149Swabs of folded 8-ply undyed gauze 100 pads per pkt

Non-Woven Fabric SwabsThe labelling of each pack shall include:

The Title"Drug Tariff Specification" and number

Non-Woven Fabric Swab, Sterile* 7.5cm sq 28Specification 28 5 pads per pktSterile swabs of folded 4-ply non-woven fabric. These swabs are an alternative to gauze swabs, Type 13Light BP 1988 sterile.

Non-Woven Fabric Swab, Non Sterile 10cm sq 87Specification 28 100 pads per pktSwabs of folded 4-ply non woven fabric. These swabs are an alternative to gauze swabs, Type 13 LightBP 1988, for general and cleansing purposes.

Filmated Non-Woven Fabric Swab Non-SterileSpecification 29 10cm sq 395

100 pads per pktSwabs of folded 8-ply non-woven viscose fabric containing a film of viscose fibres to increase absorbency.

*Notes: Sterile Swabs(i) These sterile dressings are to be supplied in packs of 5 swabs 7.5cm square in a sealed packs asreceived from the manufacturer, supplier or wholesaler. They should not be confused with the non-sterile10cm size in packets of 100 swabs used for general swabbing purposes.(ii) The exact number of sterile swabs ordered are to be supplied except for orders not in multiples of 5(See Note 2 page 305). A packet to be used for each sterile dressing operation; unused swabs to bediscarded as unsterile.

538

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

SYNOVIAL FLUID eachArthrum H Box containing 3 pre-filled 2ml syringes 17500Crespine Gel Box containing 1 pre-filled 2ml syringe 13168Durolane Box containing 1 pre-filled 3ml syringe 19917Euflexxa Box containing 3 pre-filled 2ml syringes (1 treatment) 19500Fermathron Box containing 1 pre-filled 20mg/2ml syringe 3900Monovisc Box containing 1 pre-filled 4ml syringe 16000Orthovisc Box containing 1 pre-filled 2ml syringe 6500Orthovisc mini Box containing 1 pre-filled 15mg/1ml syringe 3500Ostenil Box containing 1 pre-filled 20mg/2ml syringe 3423Ostenil Plus Box containing 1 pre-filled 40mg/2ml syringe 8065RenehaVis Box containing 1 pre-filled dual chambered 1.4ml syringe 11200Suplasyn Box containing 1 pre-filled 20mg/2ml syringe 3550

Box containing 1 vial 20mg/2ml 3550Synocrom Box containing 1 pre-filled 20mg/2ml syringe 3000Synocrom Mini Box containing 1 pre-filled 10mg/1ml syringe 2250Synolis Box containing 1 pre-filled 2ml syringe 7500

Box containing 3 pre-filled 2ml syringes (1 treatment) 20500Synopsis Box containing 1 pre-filled 40mg/2ml syringe 8800Synvisc (Hylan G-F20) Box containing 3 pre-filled 2ml syringes (1 treatment) 20500Synvisc ONE (Hylan G-F20) Box containing 1 pre-filled 6ml syringe 20500

SYRINGESBladder/Irrigating 100ml 474Ear

Portia Rubber Ear Syringe 60ml 218Enema Higginson's: 693Spare Vaginal Pipes Plastics or rubber, straight

15cm 55

TOPICAL SKIN COOLANTSMagicool Plus itchy skin spray 150ml 601Magicool Plus prickly heat spray 150ml 601Magicool Plus sunburn spray 150ml 601

Appliance Order No. Basic Price pTRACHEOSTOMY AND LARYNGECTOMY APPLIANCES

Tracheostomy Breathing AidsProducts marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.All products in this category receive a home delivery fee of 340pAdhere silicone adhesive B-530 1890K

Blom-Singer Hands-Free ATSV II SystemoBlom-Singer ATSV II Cap & 7 Foam Filters BE1010 1851KoReplacement Foam Filters for ATSV II BE1030 103KoATSV II replacement kit BE8025H 17746KoDiaphragm/faceplate for ATSV II BE8026H 7056K

Blom-Singer HME System oBlom-Singer HME Cartridge ClassicFlow BE1055EZ 184oBlom-Singer HME Starter Kit BE1055EZS 2859K

TruSeal Adhesive Housing BE6054 221KTruSeal Contour Adhesive Housing

Round BE6070 217KOval BE6071 217KStandard BE6072 217K

TruSeal Contour Low Profile Adhesive Housing

Round BE6074 217KOval BE6075 217KStandard BE6076 217K

539

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachBlom-Singer HumidiFilter HME System

Blom-Singer HumidiFilter Holder BE1060 1415KoReplacement Foam Filters (normal resistance) BE1080 104KoTracheostoma Valve Housing Standard BE6038 641K

Large BE6039 641KAdhesive Tape Discs Standard Regular BE6041 43K

Large Regular BE6042 45Standard Thin BE6043 57KLarge Thin BE6044 61KStandard Heavy Duty BE6034 57KLarge Heavy Duty BE6035 61K

Combiphon Speaking Valve 27131 1529K

oDuratwix Uni-Vario tracheostomy tube with two inner cannulasShort

72mm length Diam 7mm inner, 11.9mm outer 19212-07 530075mm length Diam 8mm inner, 12.5mm outer 19212-08 530078mm length Diam 9mm inner, 13.7mm outer 19212-09 530081mm length Diam 10mm inner, 15mm outer 19212-10 5300

Standard82mm length Diam 6mm inner, 11.9mm outer 19211-06 530082mm length Diam 7mm inner, 11.9mm outer 19211-07 530085mm length Diam 8mm inner, 12.5mm outer 19211-08 530088mm length Diam 9mm inner, 13.7mm outer 19211-09 530091mm length Diam 10mm inner, 15mm outer 19211-10 5300

oDuratwix Uni-Vario Cuff tracheostomy tube with two inner cannulasShort

72mm length Diam 7mm inner, 11.9mm outer 19612-07 540075mm length Diam 8mm inner, 12.5mm outer 19612-08 540078mm length Diam 9mm inner, 13.7mm outer 19612-09 540081mm length Diam 10mm inner, 15mm outer 19612-10 5400

Standard82mm length Diam 6mm inner, 11.9mm outer 19611-06 540082mm length Diam 7mm inner, 11.9mm outer 19611-07 540085mm length Diam 8mm inner, 12.5mm outer 19611-08 540088mm length Diam 9mm inner, 13.7mm outer 19611-09 540091mm length Diam 10mm inner, 15mm outer 19611-10 5400

oDuratwix Uni-Vario Lingo tracheostomy tube with two inner cannulasShort

72mm length Diam 7mm inner, 11.9mm outer 19262-07 540075mm length Diam 8mm inner, 12.5mm outer 19262-08 540078mm length Diam 9mm inner, 13.7mm outer 19262-09 540081mm length Diam 10mm inner, 15mm outer 19262-10 5400

Standard82mm length Diam 6mm inner, 11.9mm outer 19261-06 540082mm length Diam 7mm inner, 11.9mm outer 19261-07 540085mm length Diam 8mm inner, 12.5mm outer 19261-08 540088mm length Diam 9mm inner, 13.7mm outer 19261-09 540091mm length Diam 10mm inner, 15mm outer 19261-10 5400

540

11/2019 Part IXAAPPLIANCES

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachoDuratwix Uni-Vario Lingo-Cuff tracheostomy tube with two inner cannulas

Short72mm length Diam 7mm inner, 11.9mm outer 19662-07 580075mm length Diam 8mm inner, 12.5mm outer 19662-08 580078mm length Diam 9mm inner, 13.7mm outer 19662-09 580081mm length Diam 10mm inner, 15mm outer 19662-10 5800

Standard82mm length Diam 6mm inner, 11.9mm outer 19661-06 580082mm length Diam 7mm inner, 11.9mm outer 19661-07 580085mm length Diam 8mm inner, 12.5mm outer 19661-08 580088mm length Diam 9mm inner, 13.7mm outer 19661-09 580091mm length Diam 10mm inner, 15mm outer 19661-10 5800

pack of 30oHumidotwin 46460 6600

Kapi-Gel Spacers pack of 10Thin (3mm) 8mm LATNG 2008 3523

12mm LATNG 2012 3523Thick (5mm) 8mm LATNG 4008 3853

12mm LATNG 4012 3853

oLaryngotec System eachLaryngotec Kombi Stoma Button Fix

Size 8 15950-08 7433Size 9 15950-09 7433Size 10 15950-10 7433Size 11 15950-11 7433Size 12 15950-12 7433

Short Size 8 15960-08 7433Size 9 15960-09 7433Size 10 15960-10 7433Size 11 15960-11 7433Size 12 15960-12 7433

Laryngotec Kombi Laryngectomy Tube (Non-Fenestrated)44mm length Size 7 14920-0744 7192K

Size 8 14920-0844 7192KSize 9 14920-0944 7192KSize 10 14920-1044 7192KSize 11 14920-1144 7192KSize 12 14920-1244 7134KSize 13 14920-1344 7134K

62mm length Size 7 14920-0762 7192KSize 8 14920-0862 7192KSize 9 14920-0962 7192KSize 10 14920-1062 7192KSize 11 14920-1162 7192KSize 12 14920-1262 7134KSize 13 14920-1362 7134K

65mm length Size 7 14920-0765 7134K70mm length Size 8 14920-0870 7192K75mm length Size 9 14920-0975 7192K85mm length Size 10 14920-1085 7192K87mm length Size 11 14920-1187 7134K90mm length Size 12 14920-1290 7134K

Size 13 14920-1390 7134K

Appliance Order No. Basic Price p

541

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachLaryngotec Kombi Lingo Laryngectomy Tube (Fenestrated)

44mm length Size 7 14720-0744 7398KSize 8 14720-0844 7398KSize 9 14720-0944 7398KSize 10 14720-1044 7398KSize 11 14720-1144 7398KSize 12 14720-1244 7337KSize 13 14720-1344 7337K

62mm length Size 7 14720-0762 7398KSize 8 14720-0862 7398KSize 9 14720-0962 7398KSize 10 14720-1062 7398KSize 11 14720-1162 7398KSize 12 14720-1262 7337KSize 13 14720-1362 7337K

65mm length Size 7 14720-0765 7337K70mm length Size 8 14720-0870 7398K75mm length Size 9 14720-0975 7398K85mm length Size 10 14720-1085 7398K87mm length Size 11 14720-1187 7337K90mm length Size 12 14720-1290 7337K

Size 13 14720-1390 7337K

Laryvox HME System pack of 30oLaryvox Extra HME Cassette 49860 5762KoLaryvox Extra HME Medium Cassette 49862 5762KoLaryvox Extra HME HighFlow Cassette 49861 5762KoLaryvox HME Cassette 49800 5137KoLaryvox HME High Flow Cassette 49810 5343KoLaryvox Extra HME Sport Cassette 49863 7680oLaryvox O2 HME Cassette 49802 6165KoLaryvox PRO HME Cassette 49841 7827KoLaryvox PRO HME HighFlow Cassette 49840 7827K

pack of 15Laryvox Tape Comfort Round 48140 7192K

Oval 48240 7192KXL Oval 48340 7192K

Laryvox Tape Extra Fine 48400 8733KLaryvox Tape Flexible Round 48120 4448K

Oval 48220 4448KXL Oval 48320 4448K

Laryvox Tape Hydrosoft Round 48130 6987KOval 48230 6987KXL Oval 48330 6987K

Laryvox Tape Hypoallergen Round 48050 8117KOval 48150 8051KXL Oval 48250 8117K

Laryvox Tape Standard Round 48100 2911KOval 48200 2911KXL Oval 48300 2911K

pack of 30o Laryvox Touch HME HighFlow

CassetteBlue Metallic 49850-01 6370KGold 49850-02 6370KSilver 49850-03 6370KBeige 49850-04 6370KClear 49850-13 6370K

542

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES pack of 30Opticlear Adhesive Remover 33500 986K

Optigard Protective Dressing Wipes 33600 986K

ProTrach DualCare HME Systemo ProTrach DualCare HME 7742 7094

eachProTrach DualCare speaking valve (tinted) 7744 7818ProTrach DualCare speaking valve (blue) 7755 7818

oProTrach XtraCare HME System pack of 10o ProTrach O2 Adaptor 7769 1543

pack of 30ProTrach XtraCare White 7767 15788

Blue 7768 15788

Provox FreeHands HME System eacho Provox FreeHands FlexiVoice Light 8161 16310

Medium 8162 16310Strong 8163 16310XtraStrong 8166 16134

pack of 30o Provox FreeHands HME Flow 8221 6669o Provox FreeHands HME Moist 8220 6669

Silicone Glue (for use with Flexiderm adhesive) 7720 1963

oProvox HME System ("Stomafilter") eachFlexiderm adhesive round (Transparent with strong adhesive) 7253 286Flexiderm adhesive oval 7254 286Optiderm adhesive round (Skin coloured, hydrocolloid for

sensitive skin)7255 471

Optiderm adhesive oval 7256 471Provox adhesive FlexiDerm Plus 7331 313Provox adhesive OptiDerm Plus 7332 514

pack of 50Provox Adhesive Remover 8012 2567

pack of 10Provox Adhesive Strips 8015 2339

eachProvox FreeHands Support Flat 8021 5716

Medium 8022 5716Deep 8023 5716

pack of 15Provox FreeHands Support Adhesive 8024 4250

eachProvox LaryClip (8 clips) 7669 9268

Provox LaryButton Diam 8mm length, 12mm outer 7671 7514Diam 8mm length, 14mm outer 7672 7514Diam 8mm length, 16mm outer 7673 7514Diam 8mm length, 18mm outer 7674 7514Diam 18mm length, 12mm outer 7685 7514Diam 18mm length, 14mm outer 7686 7514Diam 18mm length, 16mm outer 7687 7514Diam 18mm length, 18mm outer 7688 7514

543

11/2019 Part IXAAPPLIANCES

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachProvox LaryTube (fenestrated)

(including 5 HME Cassette HiFlow and 1 Provox Brush) 36mm length Diam 9.5mm inner, 12mm outer 7637 7572

Diam 10.5mm inner, 13.5mm outer 7640 7572Diam 12mm inner, 15mm outer 7643 7572Diam 13.5mm inner, 17mm outer 7646 7572

55 mm length Diam 9.5mm inner, 12mm outer 7638 7572Diam 10.5mm inner, 13.5mm outer 7641 7572Diam 12mm inner, 15mm outer 7644 7572Diam 13.5mm inner, 17mm outer 7647 7572

Provox LaryTube Standard(including 5 HME Cassette XtraFlow)27mm length Diam 9.5mm inner, 12mm outer 7601 7514

Diam 10.5mm inner, 13.5mm outer 7605 7514Diam 12mm inner, 15mm outer 7609 7514Diam 13.5mm inner, 17mm outer 7613 7514

36mm length Diam 9.5mm inner, 12mm outer 7602 7514Diam 10.5mm inner, 13.5mm outer 7606 7514Diam 12mm inner, 15mm outer 7610 7514Diam 13.5mm inner, 17mm outer 7614 7514

55mm length Diam 9.5mm inner, 12mm outer 7603 7514Diam 10.5mm inner, 13.5mm outer 7607 7514Diam 12mm inner, 15mm outer 7611 7514Diam 13.5mm inner, 17mm outer 7615 7514

Provox LaryTube with Ring(including 5 HME Cassette XtraFlow)36mm length Diam 9.5mm inner, 12mm outer 7624 7514

Diam 10.5mm inner, 13.5mm outer 7626 7514Diam 12mm inner, 15mm outer 7628 7514Diam 13.5mm inner, 17mm outer 7630 7514

55mm length Diam 9.5mm inner, 12mm outer 7625 7514Diam 10.5mm inner, 13.5mm outer 7627 7514Diam 12mm inner, 15mm outer 7629 7514Diam 13.5mm inner, 17mm outer 7631 7514

pack of 15Provox Luna Adhesive 8014 7962

pack of 30o Provox Luna HME 8013 7743

pack of 50Provox Skin Barrier 8011 4146

eachProvox StabiliBase (Convex, extra long lasting adhesive) 7289 770Provox StabiliBase OptiDerm 7318 764Provox XtraBase (Convex, strong adhesive) 7265 577Provox XtraMoist HME Cassette 7290 196Provox XtraFlow HME Cassette 7291 196Provox TrachPhone HME 7707 230

oProvox Micron HME (with microbiological filter)Cassette 7248 531

Appliance Order No. Basic Price p

544

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eacho Shiley Tracheostomy System

Shiley Uncuffed Paediatric Tracheostomy tube39 mm length Diam 3.0mm inner, 4.5mm outer 3.0PED 297040mm length Diam 3.5mm inner, 5.2mm outer 3.5PED 297041mm length Diam 4.0mm inner, 5.9mm outer 4.0PED 297042mm length Diam 4.5mm inner, 6.5mm outer 4.5PED 297044mm length Diam 5.0mm inner, 7.1mm outer 5.0PED 297045mm length Diam 5.5mm inner, 7.7mm outer 5.5PED 2970

Shiley Long Uncuffed Paediatric Tracheostomy tube50mm length Diam 5.0mm inner, 7.1mm outer 5.0PDL 324552mm length Diam 5.5mm inner, 7.7mm outer 5.5PDL 345554mm length Diam 6.0mm inner, 8.3mm outer 6.0PDL 345556mm length Diam 6.5mm inner, 9.0mm outer 6.5PDL 3455

Shiley Cuffed Paediatric Tracheostomy tube41mm length Diam 4.0mm inner, 5.9mm outer 4.0PDC 344442mm length Diam 4.5mm inner, 6.5mm outer 4.5PDC 344444mm length Diam 5.0mm inner, 7.1mm outer 5.0PDC 344446mm length Diam 5.5mm inner, 7.7mm outer 5.5PDC 3444

Shiley Long Cuffed Paediatric Tracheostomy tube50mm length Diam 5.0mm inner, 7.1mm outer 5.0PLC 345552mm length Diam 5.5mm inner, 7.7mm outer 5.5PLC 345554mm length Diam 6.0mm inner, 8.3mm outer 6.0PLC 345556mm length Diam 6.5mm inner, 9.0mm outer 6.5PLC 3455

Shiley Low Pressure Cuffed Tracheostomy tube with reusable inner cannula65mm length Diam 5.0mm inner, 9.4mm outer 4LPC 542976mm length Diam 7.0mm inner, 10.8mm outer 6LPC 542981mm length Diam 8.5mm inner, 12.2mm outer 8LPC 542981mm length Diam 9.0mm inner, 13.8mm outer 10LPC 5429

Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with reusable inner cannula65mm length Diam 5.0mm inner, 9.4mm outer 4FEN 523776mm length Diam 6.4mm inner, 10.8mm outer 6FEN 523781mm length Diam 7.6mm inner, 12.2mm outer 8FEN 523781mm length Diam 8.9mm inner, 13.8mm outer 10FEN 5237

Shiley Uncuffed Fenestrated Tracheostomy tube with reusable inner cannula65mm length Diam 5.0mm inner, 9.4mm outer 4CFN 536576mm length Diam 6.4mm inner, 10.8mm outer 6CFN 536581mm length Diam 7.6mm inner, 12.2mm outer 8CFN 536581mm length Diam 8.9mm inner, 13.8mm outer 10CFN 5365

Shiley Uncuffed Tracheostomy tube with reusable inner cannula65mm length Diam 5.0mm inner, 9.4mm outer 4CFS 523776mm length Diam 6.4mm inner, 10.8mm outer 6CFS 523781mm length Diam 7.6mm inner, 12.2mm outer 8CFS 523781mm length Diam 8.9mm inner, 13.8mm outer 10CFS 5237

545

11/2019 Part IXAAPPLIANCES

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachShiley Low Pressure Cuffed Tracheostomy tube with Disposable inner cannula

62mm length Diam 5.0mm inner, 9.4mm outer 4DCT 523774mm length Diam 6.4mm inner, 10.8mm outer 6DCT 523779mm length Diam 7.6mm inner, 12.2mm outer 8DCT 523779mm length Diam 8.9mm inner, 13.8mm outer 10DCT 5237

Shiley Low Pressure Cuffed Fenestrated Tracheostomy tube with Disposable inner cannula62mm length Diam 5.0mm inner, 9.4mm outer 4DFEN 523774mm length Diam 6.4mm inner, 10.8mm outer 6DFEN 523779mm length Diam 7.6mm inner, 12.2mm outer 8DFEN 523779mm length Diam 8.9mm inner, 13.8mm outer 10DFEN 5237

Shiley Uncuffed Tracheostomy tube with Disposable inner cannula62mm length Diam 5.0mm inner, 9.4mm outer 4DCFS 523774mm length Diam 6.4mm inner, 10.8mm outer 6DCFS 523779mm length Diam 7.6mm inner, 12.2mm outer 8DCFS 523779mm length Diam 8.9mm inner, 13.8mm outer 10DCFS 5237

Shiley Uncuffed Fenestrated Tracheostomy tube with Disposable inner cannula62mm length Diam 5.0mm inner, 9.4mm outer 4DCFN 523774mm length Diam 6.4mm inner, 10.8mm outer 6DCFN 523779mm length Diam 7.6mm inner, 12.2mm outer 8DCFN 523779mm length Diam 8.9mm inner, 13.8mm outer 10DCFN 5237

Shiley Laryngectomy tube with low profile inner cannula50mm length Diam 6.4mm inner, 11.1mm outer 6LGT 5774

Diam 7.6mm inner, 12.6mm outer 8LGT 5774Diam 8.9mm inner, 13.7mm outer 10LGT 5774

pack of 10Shiley reusable spare inner cannula (short term use) 4SIC 5022

6SIC 50228SIC 502210SIC 5022

pack of 10Shiley Disposable Non-Fenestrated inner cannula 4DIC 1860

6DIC 18608DIC 186010DIC 1860

Shiley Disposable Fenestrated inner cannulafor size 4 tubes 4DICFEN 1860for size 6 tubes 6DICFEN 1860for size 8 tubes 8DICFEN 1860for size 10 tubes 10DICFEN 1860

eachN SilBond silicone glue 30ml SB1 1901

Nto be deleted 1 February 2020

Appliance Order No. Basic Price p

546

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Order No. Basic Price pTRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eacho SpiroTect HME System

SpiroTect Hands Free ValveNormal Resistance PTC1001 16956Low Resistance PTC1002 16956

SpiroTect Antibacterial Cassette pack of 30Hands Free PTC1003 14060Touch2Speak PTC1004 7873Push2Speak PTC1005 7815Wear2Protect PTC1006 7873

SpiroTect Baseplate pack of 20Extra Sticky Round PTW501 9219Fabric Oval PTW100 9172Fabric Round PTW101 9172Fabric with Tube Connectors Oval PTW102 13758Fabric with Tube Connectors Round PTW103 13758Sensitive Oval PTW200 9287Sensitive Round PTW201 9287Clear & Strong Oval PTW300 5645Clear & Strong Round PTW301 5645Secure Convex PTW700 15199

SpiroTect Laryngectomy Tube (Perforated) each44mm length Size 8 (outer diam 12mm) PTT2001 7474

Size 9 (outer diam 13.5mm) PTT2002 7474Size 10 (outer diam 15mm) PTT2003 7474Size 12 (outer diam 17mm) PTT2004 7474

62mm length Size 8 (outer diam 12mm) PTT2005 7474Size 9 (outer diam 13.5mm) PTT2006 7474Size 10 (outer diam 15mm) PTT2007 7474Size 12 (outer diam 17mm) PTT2008 7474

SpiroTect Laryngectomy Tube (Non-Perforated)44mm length Size 8 (outer diam 12mm) PTT2009 7474

Size 9 (outer diam 13.5mm) PTT2010 7474Size 10 (outer diam 15mm) PTT2011 7474Size 12 (outer diam 17mm) PTT2012 7474

62mm length Size 8 (outer diam 12mm) PTT2013 7474Size 9 (outer diam 13.5mm) PTT2014 7474Size 10 (outer diam 15mm) PTT2015 7474Size 12 (outer diam 17mm) PTT2016 7474

SpiroTect Premium Baseplate pack of 20Oval PTW400 10000Round PTW401 10000Convex PTW402 14920

pack of 2o TracheoFix Speaking Valve and O2 adapter 121450-000000 650

o Trachie-Voice Speaking Valve TSV/100 1550

o Trachi-Naze Plus Laryngectomy Tube eachLength 20mm, 30mm, 40mm, 50mm, 60mm Diam 8mm, 10mm, 12mm, 14mm 4169

o Trachi-Naze Plus Nasal Restoration SystemTrachi-Naze Plus FiltersBlue (Night Filter) resistance level -2 to 3kPas 1-1 LATNP 1001 181Green (Day Filter) resistance level -1 to 2kPas 1-2 LATNP 1002 181Orange (Active Filter) resistance level -1kPas 1-1 LATNP 1003 181

o Trachi-Naze Plus Stoma StudShort Length 14.5mm size 8 LATNP 2001 1205

size 10 LATNP 2002 1205size 12 LATNP 2003 1205size 14 LATNP 2004 1205size 16 LATNP 2005 1205

Long Length 22.5mm size 8 LATNP 3001 1205size 10 LATNP 3002 1205size 12 LATNP 3003 1205size 14 LATNP 3004 1205size 16 LATNP 3005 1205

547

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price pTRACHEOSTOMY AND LARYNGECTOMY APPLIANCES

Tracheostomy Cleaning DevicesProducts marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.All products in this category receive a home delivery fee of 340p

o Blue Line Ultra Inner Cannula Cleaning Brush pack of 40(Smiths Medical International Ltd) 100/855/000 2136

pack of 30Optifahl Cleaning Wipes 33200 975

pack of 6033260 975

pack of 10Provox Cleaning Towel 7244 356

o Provox Swab pack of 50(Atos Medical AB) Small 8250 912

Medium 8251 922Large 8252 922XtraLarge 8258 922

pack of 6o Provox TubeBrush 8mm 7660 1173

12mm 7661 1173

pack of 30SpiroTect Baseplate Adhesive Remover Wipe PTA600 1573SpiroTect Baseplate Barrier Wipe PTA500 2592

(ProSys International Ltd)o SpiroTect Tube Cleaning Swabs pack of 50

(Kapitex Healthcare Ltd)(formerly ProSys International Ltd)

PTA300 908

o Tracheostomy Cannula Cleaning Swabs pack of 10(Insight Medical Products Ltd)

Small TCS/950 175Large TCS/900 175

Tracheo Cleaning Brush pack of 2(Kapitex Healthcare Ltd) 8mm TR ACC 0001 395

10mm TR ACC 0002 39512mm TR ACC 0003 39514mm TR ACC 0004 395

o Trachi-Swab pack of 50(Kapitex Healthcare Ltd) Small (for tubes up to 5mm ID) TR SWB 0150 921

Large (for tubes 6 to 8mm ID) TR SWB 0250 932Extra Large (for tubes over 8mm ID) TR SWB 3050 932

Trachi-Wipe (Skin Wipe) pack of 30(Kapitex Healthcare Ltd) LA NNZ 3001 2617

Tracheostomy Dressings - Sterile eachAll products in this category must be dispensed with a supply of wipes and disposal bags.All products in this category receive a home delivery fee of 340pAdvadraw (T) 8cm x 8cm CR4416 72Advazorb (T) Lite 8cm x 8cm CR4212 105Advazorb Plus (T) 8cm x 8cm CR3900 116

Excilon AMD IV Sponges 5cm x 5cm 7089 910cm x 10cm 7088 24

Note: This dressing is in 2 pieces but is a single dressing Metalline 8cm x 9cm 56

548

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Order No. Basic Price pTRACHEOSTOMY AND LARYNGECTOMY APPLIANCES each

Sensotrach Alu Slit 8cm x 10cm 30030 31KSensotrach Duo Ped Slit 6cm x 7cm 30623 61KSensotrach Duo Slit 9cm x 9.8cm 30609 51KSensotrach Uno Ped 6cm x 7cm 30523 51KSensotrach Uno Slit 9cm x 9.8cm 30521 46K

Trachi-Dress Small 60mm x 82mm TR DRE 0001 76Large 80mm x100mm TR DRE 0002 76

Trachi-Dress F Small 60mm x 80mm TR DRF 0001 148Large 80mm x 100mm TR DRF 0002 150

Tracheostomy Tube HoldersAll products in this category receive a home delivery fee of 340pBreeze Adjustable Tracheostomy Tube Holder with Elasticated Cough Strip

T550 235

FreeVent Neckband 1 piece small 1651 3351 piece large 1661 3352 piece small 1652 3352 piece large 1662 335

Insight 2 Piece Adjustable Latex Free Tracheostomy Tube HolderAdult TH100 252Child TH150 252

Marpac Tracheostomy Collar - latex freeMarpac Tube Holder Adult - with twill ties 12”-21” neck 108 298

Neo-natal with twill ties 4”-7” neck 106 298 Paediatric with twill ties 6”-12” neck 107 298

Marpac Collar Adult - with twill ties one size 201 292Neo-natal/Paediatric one size 203 292

Neckfix Duo K 32630 255K

Nex Tracheostomy Tube Holder HNTTHA 240

Optiflausch 32550 255KChild 32555 255K

Portex Tracheostomy Tube Holder with Velcro Fastening25mm wide 100/503/200 235Adult 520000 126Paediatric 520001 126Infant 520002 126

Provox TubeHolder 7668 325

Rusch Neckband Paediatric 507800-000000 225Adult 507900-000000 225

SpiroTect Tube Holder 1 piece PTA200 2472 piece adult PTA201 3302 piece child/small adult PTA301 331

Trachi-Hold Adult TR ACC 0012 338Child TR ACC 0014 338Mini TR ACC 0030 338

549

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price pTRACHEOSTOMY AND LARYNGECTOMY APPLIANCES

Tracheostomy and Laryngectomy ProtectorsAll products in this category receive a home delivery fee of 340pBreeze Wet Protect pack of 2

TWP2 775Buchanan Lite

(Laryngectomy - Permanent tracheostomy) pack of 10Small White LA BLT 2001 3329

Blue LA BLT 2002 3329Beige LA BLT 2003 3329

Large White LA BLT 1001 3598Blue LA BLT 1002 3598Beige LA BLT 1003 3598

Buchanan Protector(Laryngectomy - Permanent tracheostomy)

Small LA BUP 0002 3728Large LA BUP 0001 4045

Buchanan DeltaNex Protector(Laryngectomy - Permanent tracheostomy)

Small LA DNX 0001 3768pack of 2

Cascade Shower Protector AS/3835 778

FreeVent Tracheofix see Provox Tracheofixpack of 10

Hirst Protector 3057

Laryngofoam pack of 30White 5.1cm x 6.2cm LA LFF 0001 1335Beige 5.1cm x 6.2cm LA LFF 0003 1335Beige (Large) 6.3cm x 6.5cm LA LFF 0023 1335

pack of 10Nex Foam Collar Filter HNFC 2250

Nex Laryngectomy T Collar pack of 2Black HNLTB 700Grey HNLTG 700White HNLTW 700

eachNex Mac Showering Aid HNM 1500

Provox Luna ShowerAid 8016 497

Provox Protector pack of 10White Small 7385 3690

Large 7386 4003

Provox Protector AirBlue Small 7392 3493

Large 7394 3782White Small 7391 3493

Large 7393 3782

Provox Protector SlimBlue Small 7388 3295

Large 7390 3561White Small 7387 3295

Large 7389 3561

550

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

TRACHEOSTOMY AND LARYNGECTOMY APPLIANCES eachProvox ShowerAid 7260 497

(including 1 ShowerAid and 1 Flexiderm oval baseplate)

Provox Tracheofix (formerly FreeVent Tracheofix) pack of 10Beige 55mm x 60mm (1 strip) 1429H 445

55mm x 60mm (2 strips) 1432H 44670mm x 70mm (1 strip) 1430H 44570mm x 70mm (2 strips) 1433H 446

Ivory 55mm x 60mm (1 strip) 1427 44570mm x 70mm (1 strip) 1428 44570mm x 70mm (2 strips) 1435 446

Purifoam Laryngectomy Filters CR3853 38

Sofnex Laryngectomy Shield pack of 10(contains 2 neckbands)

Beige CR3860 3173Blue CR3859 3173White CR3856 3047

Sofshield Laryngectomy Protectors pack of 10(Laryngectomy - Permanent tracheostomy)

White Small AS3698 3037Large AS3669 3363

Beige Small AS3778 3169Large AS3765 3573

Blue Small AS3777 3169Medium AS4056 3130Large AS3764 3573

Black Medium AS4051 3130

SpiroTect Protector, Antibacterial pack of 10Small PTA700 3700Large PTA702 4014

SpiroTect Shower Protector (only for use with SpiroTect HME System) pack of 2PTA100 1001

SpiroTect Universal Shower Protector PTA101 974

pack of 4TracFlex Plus Shower Cap 121911-000000 560

Voice Prosthesis Cleaning Brush pack of 3All products in this category receive a home delivery fee of 340pBlom-Singer 16/20Fr Small 4mm-8mm IN4064 1677K

Medium 10mm-16mm IN4065 1677KLarge 18mm & above IN4066 1677K

pack of 10Insight PB/50 757

pack of 6Laryvox Duo 4mm-6mm 29110-06 1644K

7mm-8mm 29110-08 1644K9mm-10mm 29110-10 1644K11mm-13mm 29110-12 1644K14mm-18mm 29110-18 1644K

eachProvox 7204 209Provox XL 7225 209

pack of 10Voiceline LA PCB 0003 881

Appliance Order No. Basic Price p

551

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price p

TRUSSES(See Part 1, Clause 2 page 4)Before the prescription can be dispensed three details must be given by the prescriber:(i) Single, or double, and the side, if single(ii) Position, eg. Inguinal; Scrotal(iii) Type, eg. truss; Elastic band trussIn the event of a dispute between the patient and the pharmacy or the appliance contractor about whetherthe truss supplied is satisfactory, the doctor's decision shall be binding.

Spring Truss eachSpecification 31(a)Spring Trusses shall conform to the British Standard 2930: 1970 for Surgical Spring Trusses

Inguinal Single 3518Double 4909

Inguinal Rat-tail Single 4332Double 6474

Femoral Single 3886Double 6012

Scrotal Single 4332Double 6474

Double Inguinal/Scrotal 6225Back Pad, fixed or sliding (if ordered) extra 998Slotted, polished Spring Ends (if ordered) Single Extra 507

Double Extra 1022

"Special" Trusses Single Extra 1121- conforming to the requirements in Specification 31b Double Extra 2212

NB:Requirement for a "Special" Truss should normally be confirmed by the prescriber.

Replacements and repairs:-Understrap for Inguinal or Femoral Trusses 308

Elastic Band TrussSpecification 31bElastic Band Trusses shall conform to the British Standard 3271: 1970 for Surgical Elastic Band Trusses

Inguinal Single 2389Double 3980

Scrotal Single 2487Double 4050

Umbilical, Single Belt Single 2713Double Belt where specified by prescriber Double 3694

"Special" Trusses Single Extra 704- conforming to the requirements in Specification 31b Double Extra 1017

NB:Requirement for a "Special" Truss should normally be confirmed by the prescriber

552

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTIONThe following products may be ordered on a prescription form (ie prescribed "on the NHS") only if the patient isa person of a description mentioned in column 1 of the prescribing restrictions note below, and for the purposespecified in column 2 of that note, and if the prescriber endorses the face of the prescription form with thereference "SLS".All products in this category receive a home delivery fee of 340p

Vacuum Pumps eachEuro Surgical Ltd

Pos-T-Vac AVP1000 Battery Operated 12700MVP 700 Manual 9800

FTP MedicalVED Axis FTP-VED-AXIS 15900

Genesis Medical LtdAccord 0103 Manual 11900Impulse with limiter 0102 Manual 11900Revive with limiter 0101 Battery Operated 14900

Healthcare 2000 LtdE.I.D. Erection Inducer Device 14900

iMEDicare LtdSomaCorrect 15080 16029SomaCorrect Xtra 15111 18424SomaErect Response II 15019 16552SomaErect Response II - XL 15888 16552SomaErect Touch II 15013 17395

Mediplus LtdOsbon ErecAid Classic XX-02 11061Osbon ErecAid Esteem XX-50 20000

Mediwatch UK LtdErectEase S0001 9400

Owen Mumford LtdRapport Classic SM2000 11843

R and G Products LtdElite ES101 13500Elite Plus with gauge EG105 16000Elite Plus 2 with limiter EL108 16000

VaxAid LtdVaxAid Hydropump V30 VX30PR 8950

Vetco UKVetex Pump System 001 Manual 9500

553

11/2019 Part IXAAPPLIANCES

VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTION eachConstrictor Rings - to maintain an erectionEuro Surgical Ltd

Constrictor Ring 968

FTP MedicalVED Axis

Constriction Ring Size 4 FTP-44003-4-001 1042Size 6 FTP-44003-6-001 1042

Firma Band FTP-001-0-FB 1333Sensation Seal Size 2 FTP-001-2-SS 1000

Size 3 FTP-001-3-SS 1000

Genesis Medical LtdAsset

Set of 5 different rings, loading cone, and holding cylinderfor maintaining an erection

0105 2400

Genesis constriction ringSingle ring for use with erection assistance devices 0110B,0110C, 0110D, 0110E, 0110F,

Sizes B,C,D,E,F 700

Genesis 3HSingle ring for use with erection assistance devices013H-3, 013H-4, 013H-5, 013H-6, 013H-7, 013H-8, 013H-9

Sizes 3,4,5,6,7,8,9 700

Healthcare 2000 LtdConfidence Rings

Starter pack of 2 Rings (1x Regular, 1x Firm) 2400Firm x 2 Rings (Pink) 2900Regular x 2 Rings (Natural) 2900

iMEDicare LtdAssist Maintenance System 15109 2779Select Maintenance Ring Set (Set of 3 rings) 15230 2985SureEase Maintenance Ring Set 15085 3294Ultimate (Surefit) Maintenance Ring Set 15222 3500Ultra Maintenance Ring Set 15444 3500

Mediwatch UK LtdErectAssist

Set of 3 retention rings, loading cone, transfer collar andlubricating gel

S0007 2300

Retention RingsSet of 3 retention rings

25mm S0101A 210032mm S0101B 210040mm S0101C 21001 of each of the above sizes S0101 2100

Appliance Order No. Basic Price p

554

11/2019 Part IXAAPPLIANCES

Appliance Order No. Basic Price p

VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTION eachMediplus Ltd

Osbon ErecAid (pack of 2 rings)MaxElasticity tension Grey 1676 3660Standard tension Beige 1672 3660High tension Pink 1674 3660

Owen Mumford LtdRapport Ring Loading System

Set of 5 different sized rings, loading cone and transfersleeves for maintaining an erection

SM2220 2367

R and G Products LtdConstriction Rings (pack of 5 rings) Sizes 1-5 ECR01 2000

Size 1 ECR01/1 2000Size 2 ECR01/2 2000Size 3 ECR01/3 2000Size 4 ECR01/4 2000Size 5 ECR01/5 2000

Applicator and cone set with 5 different sized rings ECA02 2400

VaxAid LtdVaxAid Erection Rings

Single Rings20mm VSER20 50024mm VSER24 50028mm VSER28 50032mm VSER32 50036mm VSER36 50040mm VSER40 500

Pack of six rings in sizes 20mm, 24mm, 28mm, 32mm,36mm, 40mm

VPER1 3000

Pack of three rings in sizes 20mm, 24mm, 28mm VPER2 1500Pack of three rings in sizes 32mm, 36mm, 40mm VPER3 1500

Vetco UK Constriction RingsWhite C-Flex (small, medium, large) VA005 650Mentor (medium, large) VA006 1000Comfort (one size fits all) VA007 1000

555

11/2019 Part IXAAPPLIANCES

Part IXA-Appliances

Appliance Size or Weight Basic Price pPRESCRIBING RESTRICTIONS APPLYING TO VACUUM PUMPS AND CONSTRICTOR RINGS FOR ERECTILE DYSFUNCTIONThe products listed may be ordered on a prescription form (ie prescribed "on the NHS") only if the patient is aperson of a description mentioned in column 1 below, and for the purpose specified in column 2, and if theprescriber endorses the face of the prescription form with the reference "SLS".

Patient Purpose(a) a man who is suffering from any of the following - Treatment of

erectile dysfunction.

diabetesmultiple sclerosisParkinson's diseasepoliomyelitisprostate cancersevere pelvic injurysingle gene neurological diseasespina bifidaspinal cord injury; or

(b) a man who is receiving treatment for renal failure by dialysis; or(c) a man who has had the following surgery -

prostatectomyradical pelvic surgeryrenal failure treated by transplant.

(d) In Wales: a man who has been diagnosed as suffering severe distress resulting from erectile dysfunction where the assessment has been made by a specialist service or GP under arrangements made with a Local Health Board to provide such assessments

VAGINAL DILATORS per kitAmielle Care SM2150 2666(Owen Mumford Ltd)Amielle Comfort SM2100 3554(Owen Mumford Ltd)Femmax 1648(Medical Devices Technology International Ltd)

VAGINAL MOISTURISERS per packFeminesse 33g tube 600

6 pre-filled applicators 600Gynomunal 15ml tube 369

50ml tube 799Hyalofemme 30g tube 463Regelle 3 pre-filled applicators 329

6 pre-filled applicators 54112 pre-filled applicators 832

Repadina 10 x 2g ovules 814R ReplensMD 3 dose pack 365

6 dose pack 60612 dose pack 1164

35g tube 606Sylk 40g tube 516Vagisil Internal Hydrating Gel 6 pre-filled applicators 606YES VM 6 pre-filled applicators 514

100ml tube 700YES WB water-based vaginal lubricant (formerlyYes water-based Intimate Lubricant)

6 pre-filled applicators 51475ml tube 700

R Please note: For reimbursement purposes ReplensMD should not be confused with the product Replenslisted in Drug Tariff Part XVIIIA - Drugs, Medicines and other substances not to be ordered under aGeneral Medical Services Contract.

VAGINAL PH CORRECTION PRODUCTS per packGelsBalance Activ BV 7 x 5ml tubes 525Multi-Gyn ActiGel 50ml tube 525Relactagel 7 x 5ml tubes 525

Lactic Acid Pessary BPBalance Activ 7 pessaries 525

556

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pVENOUS ULCER COMPRESSION SYSTEM per pack

ActiLymph Hosiery Kit (L&R Medical UK Ltd)

Medical Stocking & Compression Liner 3103(pack contains 1 stocking and 2 liners)Medium, Large, Extra Large, Extra Extra Large

Activa Leg Ulcer Hosiery Kit (L&R Medical UK Ltd)

Medical Stocking & Compression Liner(pack contains 1 stocking and 2 liners - 40mmHg)

2353

Small, Medium, Large, Extra Large, Extra Extra Large

Compression Liner Pack Closed Toe 1764(pack contains 3 liners - 10mmHg)Small, Medium, Large, Extra Large, Extra Extra Large

Compression Liner Pack Open Toe 1730(pack contains 3 liners - 10mmHg)Small, Medium, Large, Extra Large, Extra Extra Large

Altipress 40 Ulcer Kit (Altimed Ltd)

Medical Stocking and Compression Liner 1489(pack contains 1 stocking and 2 liners)Available in Short, Regular and Long lengthsSmall, Medium, Large, Extra Large, Extra Extra Large

Altipress(Altimed Ltd)

Compression Liner Pack 1178(pack contains 3 liners)Available in Short, Regular and Long lengthsSmall, Medium, Large, Extra Large, Extra Extra Large

Altipress 40 Made to Measure Ulcer Kit (Altimed Ltd)

Medical Stocking and Compression Liner 4320(pack contains 1 Made to Measure stocking and 2 Made to Measure liners)

Altipress Made to Measure(Altimed Ltd)

Compression Liner Pack 2447(pack contains 2 Made to Measure liners)

Carolon Compression Understocking Pack(H&R Healthcare Ltd) (pack contains 3 understockings)

Available in Short and regular lengthSize Ankle Circ Calf Circ

A 17.5-20cm 25.5-33cm 2224B 20-22.5cm 30.5-38cm 2224C 22.5-25.5cm 35.5-43cm 2224D 25.5-28cm 40.5-48.5cm 2224E 28-30.5cm 45.5-53cm 2224F 30.5-33cm 51-58.5cm 2224G 33-35.5cm 56-66cm 2224

Carolon Graduated Compression System(H&R Healthcare Ltd) (pack contains 1 stocking and 2 understockings)

Available in Short and regular lengthSize Ankle Circ Calf Circ

A 17.5-20cm 25.5-33cm 2679B 20-22.5cm 30.5-38cm 2679C 22.5-25.5cm 35.5-43cm 2679D 25.5-28cm 40.5-48.5cm 2679E 28-30.5cm 45.5-53cm 2679F 30.5-33cm 51-58.5cm 2679G 33-35.5cm 56-66cm 2679

557

11/2019 Part IXAAPPLIANCES

Appliance Size or Weight Basic Price pVENOUS ULCER COMPRESSION SYSTEM per pack

Clini Duo40 Medical Stocking and Compression Liner(CliniSupplies Ltd) (pack contains 1 stocking and 2 liners)

Small, Medium, Large, Extra Large, Extra Extra Large 1321

Clini Duo40 Compression Liner Pack(CliniSupplies Ltd) (pack contains 3 liners)

Small, Medium, Large, Extra Large, Extra Extra Large 1045

CoolFlex Standard Calf

Compression System 9900(pack contains 1 Coolflex legpiece and 2 Basic liners)

(Sigvaris Britain Ltd) Available as Regular and Tall. Left and RightSmall, Small Max, Medium/Large, Medium/Large Max, Extra Large/Extra Extra Large.

Jobskin Alleviant Medical Stocking & Compression Liner(Jobskin Ltd) (pack contains 1 over stocking and 2 liners) i, ii, iii, iv, v, vi, vii 1875

Jobst FarrowHybrid AD1 Compression Liner Pack 2400(BSN medical Ltd) (pack contains 2 liners - 20-30mmHg)

Available as Standard and WideSmall, Medium, Large, Extra Large

AD11 Compression Liner Pack 2400(pack contains 2 liners - 30-40mmHg)Available as Standard and WideSmall, Medium, Large, Extra Large

Jobst FarrowWrap 4000

Compression System 10400

(BSN medical Ltd) (pack contains 1 Jobst FarrowWrap 4000 legpiece and 1 wideJobst FarrowHybrid AD1 liner)Available as Regular and TallExtra Small, Small, Medium

Compression System 10400(pack contains 1 Jobst FarrowWrap 4000 legpiece, 1 wide JobstFarrowHybrid AD1 liner and 1 Jobst FarrowWrap silver liner)Available as Regular and TallLarge

Jobst UlcerCARE Medical Stocking & Compression Liner Small 3240(BSN medical Ltd) (with or without zip) Medium 3240

(pack contains 1 stocking and 2 liners) Large 3240X Large 3240

XX Large 3240XXX Large 3240

XXXX Large 3240Compression Liner pack Small 1957(pack contains 3 liners) Medium 1957

Large 1957Extra Large 1957

XX Large 1957XXX Large 1957

XXXX Large 1957

Jobst UlcerCARE Custom(BSN medical Ltd)

Medical Stocking 6566Compression Liner pack 3283(pack contains 2 liners)

558

11/2019 Part IXAAPPLIANCES

VENOUS ULCER COMPRESSION SYSTEM per packJuxta CURES Compression System 15815(Medi UK Ltd) (pack contains Juxta CURES, 2 standard anklets and 2 liners)

Short, Standard, Long

Comfort Leg Liner 1377(pack contains 2 liners)

Comfort Compression Anklet 1165(pack contains 2 anklets)Standard, Large

JuxtaLite Compression System 9894(Medi UK Ltd) (pack contains JuxtaLite, 2 compression anklets and 2 liners)

Available as Short and LongSmall, Medium, Large, Extra Large, Extra Extra Large

Available as Short Extra Wide and Long Extra WideMedium, Large, Extra Large

Mediven Ulcer Kit Medical Stocking & Compression Liner(Medi UK Ltd) (pack contains 1 over stocking and 2 liners)

Standard Length Kit i, ii, iii, iv, v, vi, vii 3314Petite Length Kit i, ii, iii, iv, v, vi, vii 3314Liner Pack (Pack contains 2 liners) i, ii, iii, iv, v, vi, vii 1777

Ulcerkit Pro 35 Compression System 3223(Gardamed Ltd) (pack contains 1 Class 2 stocking, 1 stocking

18mmHg and 2 liners)Available in Short and Long lengths (Standard and Max widths)Cotton fabricSmall, Medium, Large, Extra LargeStrong fabricSmall, Medium, Large, Extra Large

Ulcerkit Pro 40 Compression System 3223(Gardamed Ltd) (pack contains 1 Class 2 stocking, 1 stocking

24mmHg and 2 liners)Available in Short and Long lengths (Standard and Max widths)Cotton fabricSmall, Medium, Large, Extra LargeStrong fabricSmall, Medium, Large, Extra Large

Ulcertec Medical Stocking & Compression Liner(Bauerfeind UK) (pack contains 1 stocking & 2 liners)

Short (Small, Medium, Large) 2710Short (Extra Small, Extra Large) 2710Long (Small, Medium, Large) 2710Long (Extra Small, Extra Large) 2710

Appliance Size or Weight Basic Price p

559

11/2019 Part IXAAPPLIANCES

VENOUS ULCER COMPRESSION SYSTEM per packUlcer X Medical Stocking & Compression Liner Pack Open Toe 2474(Sigvaris Britain Ltd) (pack contains 1 stocking and 2 liners - 23-32mmHg)

Available in Short and Long lengthsSmall, Medium, Large, Extra Large

Medical Stocking & Compression Liner Pack Open Toe Plus 2474(pack contains 1 stocking and 2 liners - 23-32mmHg)Available in Short and Long lengthsSmall, Medium, Large, Extra Large

Compression Liner Pack Closed Toe 2106(pack contains 4 liners - 18-21mmHg)Available in Short and Long lengthsSmall, Medium, Large, Extra Large

Venosan 8000 Ulcerfit Medical Stocking & Compression Liner 2221(Credenhill Limited) (pack contains 1 stocking and 2 liners)

Available in Short and Long lengthsSmall, Medium, Large, Extra Large

Compression Liner Pack Closed Toe 1322(pack contains 2 liners)Available in One length, 35-42cmSmall, Medium, Large, Extra Large

Appliance Size or Weight Basic Price p

560

11/2019 Part IXBINCONTINENCE APPLIANCES

Part IXB - Incontinence Appliances

INCONTINENCE APPLIANCES

1. Prescribers and suppliers should note that products not included in the list are not prescribable (See Part 1Clause 2). Attention is drawn particularly to the information on the average life-in-use of each type of productwhich, together with the pack size, should enable prescribers to calculate their patients' requirements withreasonable accuracy.

2. Only basic information on each product has been provided and prescribers may on occasions wish to seekfurther information about certain products eg when assessing a patient for the first time. If so, this is alwaysavailable from the manufacturers (addresses and telephone numbers are given at the end of the entry).Information may also be sought from community nurses and community pharmacists. Where possiblemanufacturers/’suppliers' order code numbers have been shown but prescribers should note that the ordernumbers shown are not necessarily the full codes for the appliances they wish to order. This is particularlytrue of urinal systems where additional code numbers are usually necessary to denote variations from thebasic design and individual sizes.

3. Prescribers are reminded that incontinence pads (including products not necessarily described as such butusing the absorption principle), incontinence garments, skin wipes and occlusive devices such as femalevaginal devices and male penile clamps are not prescribable under the Drug Tariff provisions.

All products in Part IXB receive a home delivery fee of 340p.

List of components and accessories Page

Anal Plugs 561

Catheter Valves 561

Drainable Dribbling Appliances 562

Faecal Collectors 562

Incontinence Belts 562

Incontinence Sheaths 563

Incontinence Sheath Fixing Strips and Adhesives 572

Insert for Female Stress Incontinence 573

Leg Bags 574

Night Drainage Bags 583

Suspensory Systems 588

Tubing and Accessories 589

Urinal Systems 593

Manufacturers’ Addresses and Telephone Numbers 606

561

11/2019 Part IXBINCONTINENCE APPLIANCES

ANAL PLUGS

Warning: This product should not be used without assessment by an appropriate medical professional.

CATHETER VALVES

Warning: This product should not be used without assessment of bladder function by an appropriatemedical professional.

Indications: For use with an indwelling urethral catheter.

Contraindications:Reduced bladder capacityNo bladder sensationCognitive impairmentInsufficient manual dexterity to operate the Catheter Valve

Note: It is recommended that the Catheter Valve is changed every 5 - 7 days.

All products in this category must be dispensed with a supply of wipes and disposal bags.

The following symbols are used in this section

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd Peristeen Anal Plug Small 1450 20 4751Large 1451 20 4654

Renew Medical Inc Renew InsertRegular FG730 30 6687Large FG731 30 6687

S Sterile

Manufacturer Appliance Order No. Quantity List Price p

Bard Ltd S Flip-Flo Catheter Valve BFF5 5 1348Coloplast Ltd S Coloplast Catheter Valve CV3808 10 2708CliniSupplies Ltd S Prosys Catheter Valve PCV3942 5 975Flexicare Medical Ltd S E-Z Flow Catheter Valve 00-0060 5 1101Great Bear Healthcare Ltd

S Libra Lever Catheter Valve 10540A 5 1298

Jade- Euro-Med Ltd S Euro Catheter Valve JECV 5 1326LINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd)

S Care-Flo Catheter Valve CF1 5 759

MacGregor Healthcare Ltd

S Qufora Catheter Valve 21104204 5 859 K

Manfred Sauer UK Ltd S Smartflow Catheter Valve CVS 5 1196Optimum Medical Solutions

S Ugo Catheter Valve 3000 5 1096

Teleflex S Teleflex Catheter Valve 850560-000000 1 200Unomedical Ltd S Careline Lever Catheter Valve 90 821 1S-20 5 1035

S Careline T Tap Catheter Valve 90 805 1S-20 5 1035

Catheter Valve with Integral BagJade-Euro-Med Ltd S Euro Bag with dual tap JEDT 10 3193

562

11/2019 Part IXBINCONTINENCE APPLIANCES

DRAINABLE DRIBBLING APPLIANCES

Bags or pouches which use absorptive material to soak up urine are not prescribable.

Note: The appliances listed below may be re-used, on average, for at least a month.

Products marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.

FAECAL COLLECTORS

All products in this category must be dispensed with a supply of wipes and disposal bags.

INCONTINENCE BELTS

Note: Average Life-in-Use - 6 Months

Manufacturer Appliance Order no Quantity List Price p

Jade-Euro-MedLtd

o Dribbling bag with loops and tapes Fig 18 1 2053Drip Male Urinal with tap M 100 1 5514Replacement belt for M100 JB 100 1 1360

Ward Surgical Appliance Co

o Male Dribbling bag with diaphragm and belt WM60 1 2792

Manufacturer Appliance Order No. Quantity List Price pB. Braun Medical Flow Collector 039900E 15 4231

Coloplast Ltd Fistula Bed Drainage Bag 14010 10 1754

Hollister Ltd Hollister Faecal Collector500ml 9822 10 46781000ml 9821 10 4678

ProSysInternational Ltd

SECCO hydrocolloid adhesive faecal collection pouchwith connector tube/cap SEC600-CT 10 4515with fold up tail SEC600-FT 10 4514

Manufacturer Appliance Order No. Quantity List Price pDBT Medical Ltd Waist and support for Kipper bag LM886103 1 741

Jade-Euro-Med Ltd Waist belt for Kipper bags KBWB 1 65637mm webbing/elastic waistbelt for use with Jade-Euro-Med appliances

WB 1 656

Web belt86cm WS105-91-34 1 135791cm WS105-91-36 1 135797cm WS105-91-38 1 1357

107cm WS105-91-42 1 1357112cm WS105-91-44 1 135786cm WS106-01-34 1 135791cm WS106-01-36 1 135797cm WS106-01-38 1 1357

107cm WS106-01-42 1 135791cm WS107-01-G 1 1357

Ward Surgical Appliance Co

Waist belt for black Kipper bag WM62 1 513Rubber belt for PP Urinal WM63 1 444

563

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

The incontinence sheaths (also known as penile sheaths and external catheters) listed below, are, except where indicated, of the soft, flexible, latex type. Sheaths are available with and without fixing devices which may be applied externally (around the outside of the sheath) or internally (around the penis between the skin and the sheath). A list of fixing devices and other adhesion products is included in 'Incontinence Sheath Fixing Strips & Adhesives'.

Note: Each Sheath may be left in place for 1 to 3 days between changes.

The following symbols are used in this section

D Non-adhesive sheath without linerZ Sheath with self-adhesive linerF Sheath with separate double-sided adhesive stripE Sheath with separate single-sided adhesive strip

Manufacturer Appliance Order No. Quantity List Price p

Bard Ltd Z Clear Advantage with Aloe silicone sheath, style 1Standard

24mm 1243 30 523028mm 1283 30 523032mm 1323 30 523036mm 1363 30 523040mm 1403 30 5230

Z Clear Advantage with Aloe silicone sheath, style 2Pop-On

24mm 2243 30 523028mm 2283 30 523032mm 2323 30 523036mm 2363 30 523040mm 2403 30 5230

Z Clear Advantage with Aloe silicone sheath, style 3Wideband

24mm 3243 30 523028mm 3283 30 523032mm 3323 30 523036mm 3363 30 523040mm 3403 30 5230

Z Clear Advantage Silicone Sheath (Self-adhesive)small (dia 23mm) 786187 30 5230medium (dia 28mm) 786195 30 5230standard (dia 31mm) 786225 30 5230large (dia 35mm) 786233 30 5230extra large (dia 40mm) 786241 30 5230

Z Clear Advantage Spirit, Style 1Standard

24mm 5243 30 518928mm 5283 30 518932mm 5323 30 518936mm 5363 30 518940mm 5403 30 5189

564

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Bard Ltd Z Clear Advantage Spirit, Style 2Pop-On

24mm 7243 30 518928mm 7283 30 518932mm 7323 30 518936mm 7363 30 518940mm 7403 30 5189

Z Clear Advantage Spirit, Style 3Wideband

24mm 9243 30 518928mm 9283 30 518932mm 9323 30 518936mm 9363 30 518940mm 9403 30 5189

EncompassLatex free self-adhesive penile sheath

24mm BLFS24 30 495028mm BLFS28 30 495030mm BLFS30 30 495032mm BLFS32 30 495035mm BLFS35 30 4950

Z Freedom Transfix Silicone Sheath, Style 1 self adhering, standard sheath25mm TF12530 30 505229mm TF12930 30 505232mm TF13230 30 505236mm TF13630 30 505241mm TF14130 30 5052

Z Freedom Transfix Silicone Sheath, Style 2 self adhering, short sheath 25mm TF22530 30 505229mm TF22930 30 505232mm TF23230 30 505236mm TF23630 30 505241mm TF24130 30 5052

Z Freedom Transfix Silicone Sheath, Style 3 self adhering - extra wide adhesiveband

25mm TF32530 30 505229mm TF32930 30 505232mm TF33230 30 505236mm TF33630 30 505241mm TF34130 30 5052

Latex free penile sheath24mm U523LF 30 298228mm U524LF 30 298230mm U525LF 30 298232mm U526LF 30 298235mm U527LF 30 2982

Manufacturer Appliance Order No. Quantity List Price p

565

Part IXB 11/2019INCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Incontinence sheaths

Manufacturer Appliance Order No. Quantity List Price p

Bard Ltd D Natural Clear Non-Adhesive Sheath25mm (small) 38301 30 495229mm (medium) 38302 30 495232mm (intermediate) 38303 30 495236mm (large) 38304 30 4952

Z Pop-On Silicone Sheath (self-adhesive)25mm 32301 30 495129mm 32302 30 495132mm 32303 30 495136mm 32304 30 495141mm 32305 30 4951

Reliasheath latex free penile sheath (including adhesive strip)24mm D523LF 30 484728mm D524LF 30 484730mm D525LF 30 484732mm D526LF 30 484735mm D527LF 30 4847

Z UltraFlex Clear Silicone Sheath (Self-adhesive)small 33301 30 4952medium 33302 30 4952intermediate 33303 30 4952large 33304 30 4952ex-large 33305 30 4952

Z Wide Band Silicone Sheath (self-adhesive)25mm 36301 30 495129mm 36302 30 495132mm 36303 30 495136mm 36304 30 495141mm 36305 30 4951

Beambridge Medical Z Beambridge Non Latex Self Adhesive Sheath24mm 6-S24 30 522828mm 6-S28 30 522831mm 6-S31 30 522835mm 6-S35 30 522840mm 6-S40 30 5228

F Beambridge Urinary SheathSmall 6-65(20mm) 30 5025Medium 6-65(25mm) 30 5025Large 6-65(30mm) 30 5025Extra Large 6-65(35mm) 30 5025

CliniMed Ltd BioDerm XLS (Oval) 20026/10 10 8575

566

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Manufacturer Appliance Order No. Quantity List Price p

CliniSupplies Ltd Z Prosys FlofitSelf Adhesive Silicone SheathStandard

24mm PSS24STD/B 30 467028mm PSS28STD/B 30 467031mm PSS31STD/B 30 467035mm PSS35STD/B 30 467040mm PSS40STD/B 30 4670

Pop On24mm PSS24POPON/B 30 467028mm PSS28POPON/B 30 467031mm PSS31POPON/B 30 467035mm PSS35POPON/B 30 467040mm PSS40POPON/B 30 4670

Wide Band24mm PSS24WIDEBD/B 30 467028mm PSS28WIDEBD/B 30 467031mm PSS31WIDEBD/B 30 467035mm PSS35WIDEBD/B 30 467040mm PSS40WIDEBD/B 30 4670

Coloplast Ltd Conveen Optima (non-latex) self-sealing Urisheath(Shorter Length)

21mm 22121 30 530725mm 22125 30 530730mm 22130 30 530735mm 22135 30 5307

(Standard Length)25mm 22025 30 530728mm 22028 30 525730mm 22030 30 530735mm 22035 30 530740mm 22040 30 5307

Z Conveen Security + self-sealing Urisheath (non-latex) with Anti-kink Design extra small 5221 30 5343small 5225 30 5343medium 5230 30 5343large 5235 30 5343extra large 5240 30 5343

Z Conveen Security + Easifit Shorter length self sealing Urisheath (non-latex) with Anti-kink Design

extra small (dia 21mm) 22011 30 5282small (dia 25mm) 22012 30 5282medium (dia 30mm) 22013 30 5282large (dia 35mm) 22014 30 5282

F Conveen Security + Sheath (non-latex) with Anti-kink Design (including Uriliner adhesive strip)

extra small 5021 30 5399small 5025 30 5399medium 5030 30 5399large 5035 30 5399extra large 5040 30 5399

567

Part IXB 11/2019INCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Incontinence sheaths

Coloplast Ltd Z Conveen self-sealing Urisheathextra small 5212 30 5346small 5200 30 5346medium 5205 30 5346large 5210 30 5346extra large 5215 30 5346

F Conveen Urisheath/Urilinervery small 5120 30 5405small 5125 30 5405medium 5130 30 5405large 5135 30 5405ex- large 5140 30 5405

Covidien UK Commercial Ltd

F Texas Catheter (including adhesive strip)

8884731300 12 881

DBT Medical Ltd D Dry Aid Penile Sheath (without adhesive strip)small AL861021 20 1797medium AL861022 20 1797large AL861023 20 1797ex-large AL861024 20 1797

E Warne Secure external catheter kit (including adhesive strip)25mm diameter 4000025 10 98130mm diameter 4000030 10 98135mm diameter 4000035 10 981

Great Bear Healthcare Ltd

Z GB Libra SheathLatex free self-adhesive penile sheathStandard

24mm GBLSS24 30 479728mm GBLSS28 30 479731mm GBLSS31 30 479733mm GBLSS33 30 476235mm GBLSS35 30 479740mm GBLSS40 30 4797

Pop On24mm GBLSP24 30 479728mm GBLSP28 30 479731mm GBLSP31 30 479733mm GBLSP33 30 476235mm GBLSP35 30 479740mm GBLSP40 30 4797

Wide Band24mm GBLSW24 30 479728mm GBLSW28 30 479731mm GBLSW31 30 479733mm GBLSW33 30 476235mm GBLSW35 30 479740mm GBLSW40 30 4797

Manufacturer Appliance Order No. Quantity List Price p

568

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Z InView Silicone Self-Adhesive Sheath (non-latex with anti-kinking funnel)Special

25mm 97125 30 477729mm 97129 30 477732mm 97132 30 477736mm 97136 30 477741mm 97141 30 4777

Standard25mm 97225 30 477729mm 97229 30 477732mm 97232 30 477736mm 97236 30 477741mm 97241 30 4777

Extra25mm 97325 30 477729mm 97329 30 477732mm 97332 30 477736mm 97336 30 477741mm 97341 30 4777

Hospital Management and Supplies Ltd

E Macrodom (including adhesive strip)with O 51mm tube GS7654 30 2185with O 127mm tube GS7655 25 2286

Jade-Euro-Med Ltd D Incontinence SheathSmall WS165-01-F 1 181Medium WS165-03-K 1 181Large WS165-05-P 1 181Ex-large WS165-07-T 1 181

D Jade Naturaflex Clear Non-Adhesive sheath25mm (small) M410 30 490929mm (medium) M420 30 490932mm (intermediate) M430 30 490936mm (large) M440 30 4909

Z Jade Ultra Flex Clear Sheath (Self-adhesive))small M510 30 4909medium M520 30 4909intermediate M530 30 4909large M540 30 4909ex-large M550 30 4909

Z Jade Ultra Flex Extra Clear Sheath (Self-adhesive extra wide application of adhesive)

25mm (small) M610 30 476529mm (medium) M620 30 476532mm (intermediate) M630 30 476536mm (large) M640 30 476541mm (ex-large) M650 30 4765

569

Part IXB 11/2019INCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Jade-Euro-Med Ltd Z Jade Ultra Flex Short Clear Sheath (Self-adhesive)25mm (small) M310 30 476529mm (medium) M320 30 476532mm (intermediate) M330 30 476536mm (large) M340 30 476541mm (ex-large) M350 30 4765

Manfred Sauer UK Ltd Z b.sure Quickfit shorter length self-adhering non latex urinary sheath with strong adhesive

18mm B18 30 512820mm B20 30 512822mm B22 30 512824mm B24 30 512826mm B26 30 512828mm B28 30 512830mm B30 30 512832mm B32 30 512835mm B35 30 5128

Z Comfort Plus Latex Free Urinary Sheath with hydrocolloid double sided adhesive liner

Dia 18 56.18 30 5086Dia 20 56.20 30 5086Dia 22 56.22 30 5086Dia 24 56.24 30 5086Dia 26 56.26 30 5086Dia 28 56.28 30 5086Dia 30 56.30 30 5086Dia 32 56.32 30 5086Dia 35 56.35 30 5086Dia 37 56.37 30 5086Dia 40 56.40 30 5086

D Comfort Sheath (in 11 sizes) + Residual Free removal and Anti-Blow-Back system

Paediatric (dia 18mm) 53.18 30 2572Small - (dia 20mm) 53.20 30 2572Small (dia 22mm) 53.22 30 2572Small + (dia 24mm) 53.24 30 2572Medium - (dia 26mm) 53.26 30 2572Medium (dia 28mm) 53.28 30 2572Medium + (dia 30mm) 53.30 30 2572Large - (dia 32mm) 53.32 30 2572Large (dia 35mm) 53.35 30 2572Large + (dia 37mm) 53.37 30 2572Extra Large (dia 40mm) 53.40 30 2572

Manufacturer Appliance Order No. Quantity List Price p

570

Part IXB 11/2019INCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Incontinence sheaths

Manufacturer Appliance Order No. Quantity List Price p

Manfred Sauer UK Ltd D Comfort Sheath Extra Thin for male retraction + Residual Free removal andAnti-Blow-Back system.

Medium - (dia 26mm) 53.26D 30 2572Medium + (dia 30mm) 53.30D 30 2572Large (dia 35mm) 53.35D 30 2572

D K+ICS Sheath (plus 5 Sheath tip connectors) have special removable tips whichenable the sheath to be expanded over the penis with a special sheath expandertool, to allow for clean intermittent self catheterisation (see Tubing andAccessories section of this publication for Manfred Sauer Sheath Expander orderno. 100.01).

18mm 103.18 30 517520mm 103.20 30 517522mm 103.22 30 517524mm 103.24 30 517526mm 103.26 30 517528mm 103.28 30 517530mm 103.30 30 517532mm 103.32 30 517535mm 103.35 30 517537mm 103.37 30 517540mm 103.40 30 5175

P-SURE Latex Free self-adhesive with Residual Free removal and Anti-Blow-Back system. Includes 1 free pubic hair protective cloth.

Paediatric (dia 18mm) 97.18 30 4834Small - (dia 20mm) 97.20 30 4834Small (dia 22mm) 97.22 30 4834Small + (dia 24mm) 97.24 30 4834Medium - (dia 26mm) 97.26 30 4834Medium (dia 28mm) 97.28 30 4834Medium + (dia 30mm) 97.30 30 4834Large - (dia 32mm) 97.32 30 4834Large (dia 35mm) 97.35 30 4834Large + (dia 37mm) 97.37 30 4834Extra Large (dia 40mm) 97.40 30 4834

Optimum Medical Z Ugo Sheath silicone self adhesiveStandard

25mm 3100 28 465028mm 3101 28 465030mm 3102 28 465032mm 3103 28 465036mm 3104 28 465040mm 3105 28 4650

Pop On25mm 3106 28 465028mm 3107 28 465030mm 3108 28 465032mm 3109 28 465036mm 3110 28 465040mm 3111 28 4650

571

Part IXB 11/2019INCONTINENCE APPLIANCES

INCONTINENCE SHEATHS

Manufacturer Appliance Order No. Quantity List Price p

S G & P Payne D Incontiaid Penile Sheath20mm 1111 10 104925mm 1112 10 104930mm 1113 10 104935mm 1114 10 104940mm 1115 10 1049

F with adhesive strip20mm 1116 10 166525mm 1117 10 166530mm 1118 10 166535mm 1119 10 166540mm 1120 10 1665

ProSys International Ltd Z ProTRACAll Silicone Self Adhering Sheath

Standard24mm (small) PRTSTD 24 30 507528mm (medium) PRTSTD 28 30 507532mm (intermediate) PRTSTD 32 30 507536mm (large) PRTSTD 36 30 5075

Short24mm (small) PRTSHO 24 30 507528mm (medium) PRTSHO 28 30 507532mm (intermediate) PRTSHO 32 30 507536mm (large) PRTSHO 36 30 5075

Rochester Medical Ltd Z Freedom Sheath (Self-adhesive)small (dia 23mm) 786268 30 5256medium (dia 28mm) 786276 30 5256standard (dia 31mm) 786280 30 5256large (dia 35mm) 786284 30 5256extra large (dia 40mm) 786288 30 5256

Z Freedom Plus Sheath (Self-adhesive) (Shorter length)small (dia 23mm) 786292 30 5256medium (dia 28mm) 786306 30 5256standard (dia 31mm) 786310 30 5256large (dia 35mm) 786314 30 5256extra large (dia 40mm) 786318 30 5256

SurgiSense Ltd D Uridrop Incontinence SheathSize 1 (70mm) 30/80 30 1245Size 2 (80mm) 30/81 30 1245Size 3 (100mm) 30/82 30 1245Size 4 (107mm) 30/83 30 1245Size Paed 42mm 30/60 30 1245Size Paed 55mm 30/61 30 1245

F Uridrop Incontinence Sheath and Uristrip Adhesive StripSize 1 (70mm) 8480 30 2489Size 2 (80mm) 8481 30 2489Size 3 (100mm) 8482 30 2489Size 4 (107mm) 8483 30 2489Size Paed 42mm 8460 30 2489Size Paed 55mm 8461 30 2489

572

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATH FIXING STRIPS & ADHESIVES (Available separately from sheaths)

The following symbols are used in this section

F Double-sided adhesive stripG Foam and VelcroH For use with urinal systems* Safe for direct application on the skin

Manufacturer Appliance OrderNo.

Quantity List Price p

Bio Diagnostics F Urifix Tape 5m SU1 1 523

Coloplast Ltd F Conveen Sheath Liners 5100 20 1009

ConvaTec Ltd F Urihesive Strips S120 15 791

DBT Medical Ltd F Dry Aid Double Sided Hydrocolloid Sheath Liner

AL835100 30 1549

H Dry Aid Single Sided Foam Strip AL831004 10 465

F Dry Aid Thick Double Sided Foam Strip

AL831002 10 620

Jade-Euro-Med Ltd H Jade Velcro Foam Strap M450 10 1303

JLJ Healthcare Ltd F Urifix Tape 5m T115 1 634

Manfred Sauer UK Ltd * Original Latex Skin Adhesive in a 28g tube with a long pipette/nozzle applicator

50.01 2 957

* Pure Latex Skin Adhesive without any skin care components giving a stronger bond, in a 28g tube with a long pipette/nozzle applicator.

50.00 2 941

* Lanolin Free Latex Skin Adhesive for people allergic to lanolin, in a 28g tube with a long pipette/nozzle applicator.

50.03 2 941

* 50% reduction in skin care components, in a 28g tube with a long pipette/nozzle applicator.

50.05 2 941

F Comfort Plus hydrocolloid adhesivetape

50.14 30 1544

573

11/2019 Part IXBINCONTINENCE APPLIANCES

INCONTINENCE SHEATH FIXING STRIPS & ADHESIVES (Available separately from sheaths)

INSERT FOR FEMALE STRESS INCONTINENCE

All products in this category must be dispensed with a supply of wipes and disposal bags.

Manufacturer Appliance OrderNo.

Quantity List Price p

Manfred Sauer UK Ltd * 2% Resin giving a stronger bond than the original adhesive 50.01, in a 28g tube with a long pipette/nozzle applicator. Should only be tried after 50.01 is found to be too weak.

50.20 2 941

* 12% Resin giving a stronger bond than the 2% resin adhesive 50.20, in a 28g tube with a long pipette/nozzle applicator. Should only be tried after 50.20 is found to be too weak.

50.22 2 941

* Synthetic Skin Adhesive in a 28g tube with a long pipette/nozzle applicator

50.36-2 2 1679

* Synthetic Skin Adhesive in a 45ml bottle with brush in the lid

50.36 1 1679

S G & P Payne G Incontiaid Sheath Holder 1123 10 1217Incontiaid Single Sided Adhesive Strips

1004 10 489

F Adhesive Strips 1002 10 541

SurgiSense Ltd F Uristrip Adhesive Strip 30/84 30 1245

Manufacturer Appliance Order No. Quantity List Price pVaginalPioneer Medical Europe Ltd

ContiformStarter Pack SKU184 1 5024Replacement PackSmall SKU16134 1 2595Medium SKU16227 1 2595Large SKU16270 1 2595

574

11/2019 Part IXBINCONTINENCE APPLIANCES

LEG BAGS

The leg bags listed are suitable for collection of urine from indwelling catheters or incontinence sheaths. Theyare intended for daytime use although the larger bags may have adequate capacity for overnight use by somepatients. The bags may be worn in different positions on the leg and the intended position (eg thigh, knee orcalf) will determine the length of the inlet tube. The bags are attached to the leg by means of straps (includedwith each pack) which are generally either latex or foam with velcro fasteners.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Leg Bags

Note: Plastic leg bags identified in the list with an asterisk* may on average be used for 5-7 days. With proper care and cleansing rubber leg bags are re-usable for 4-6 months.

Symbols used in this sectionS These leg bags are supplied sterile. This does not affect the guidance given in the note at the beginning.* PlasticsW Due to the size and weight of these bags when full, this capacity of bag should be prescribed only for

wheelchair-bound patients.

Manufacturer Appliance Order No. Quantity List Price pBard Ltd S * Spirit Leg Bags sterile with lever tap, 1 pair of sterile latex free gloves and 1 pair of soft

elasticated straps* 350ml, 10cm short tube DSLB350S 10 2420* 350ml, 30cm long tube DSLB350L 10 2420* 500ml, 10cm short tube DSLB500S 10 2420* 500ml, 30cm long tube DSLB500L 10 2420* 750ml, 10cm short tube DSLB750S 10 2420* 750ml, 30cm long tube DSLB750L 10 2420* 750ml, 60cm variable tube DSLB750V 10 2420

S * Uriplan Range: Shaped Leg Bags with tap outlet, overnight connector and elastic velcrostraps

* 350ml, direct inlet D3S 10 2962* 350ml, 30cm inlet tube D3L 10 2936* 500ml, direct inlet D5S 10 2985* 500ml, 10cm inlet tube D5M 10 2997* 500ml, 30cm inlet tube D5L 10 2997* 750ml, direct inlet D7S 10 3007* 750ml, 10cm inlet tube D7M 10 3007* 750ml, 30cm inlet tube D7L 10 3007* 750ml, 38cm adjustable inlet tube D7LX 10 3007

S * Urisac Range: Leg Bags with push/pull outlet and foam velcro straps* 350ml, long tube 7660 10 1562* 350ml, short tube 7661 10 1517* 500ml, long tube 7662 10 1698* 500ml, short tube 7663 10 1651

BeambridgeMedical

Beambridge Leg Bags with 1 pair of Flexible leg bag straps500ml short tube (10cm) 6-70 10 2992500ml long tube (30cm) 6-75 10 2992750ml short tube 6-90 10 3020750ml long tube 6-95 10 3020

575

11/2019 Part IXBINCONTINENCE APPLIANCES

LEG BAGS

Leg Bags

Manufacturer Appliance Order No. Quantity List Price pCliniSupplies Ltd

S Prosys Sterile Leg Bags, non-flocked back with lever tap. 1 pair of non-latex gloves and 1 pair of soft elasticated cotton velcro straps per bag

500ml short tube PH500S-LT 10 2576500ml long tube PH500L-LT 10 2576

S Prosys Sterile Leg Bags, non-flocked back with click-close tap. 1 pair of non latex gloves and 1 pair of soft elasticated cotton velcro straps

500ml short tube PH500S+ 10 2576500ml long tube PH500L+ 10 2576

S Prosys Sterile Leg Bags with lever tap. Containing 1 pair of non-latex gloves and soft elasticated cotton velcro straps per box of 10

500ml short tube Lever Tap P500S-LT 10 2615500ml long tube Lever Tap P500L-LT 10 2615

S Prosys Sterile Leg Bags with slide action tap. Containing 1 pair of non latex gloves and soft elasticated cotton Velcro straps per box of 10

350ml short tube P350S 10 2615350ml long tube P350L 10 2615500ml short tube P500S 10 2615500ml long tube P500L 10 2615750ml short tube P750S 10 2615750ml long tube P750L 10 2615

Coloplast Ltd Conveen Active 250ml leg bag7cm adjustable inlet tube 25501 10 2847

* Conveen Security+ leg bag 350ml30cm tube 5164 10 257850cm tube 5165 10 2578

* Conveen Security+ leg bag 500ml30cm tube 5160 10 257850cm tube 5161 10 2578

S 30cm tube 5162 10 2741S 50cm tube 5163 10 2741

* Conveen Security+ leg bag 750ml30cm tube 5166 10 257850cm tube 5167 10 2578

* Conveen Contour 600ml leg bag (adjustable tube) 5170 10 3130

S 5cm inlet tube 5172 10 3130S 30cm inlet tube 5173 10 3130

* Conveen Contour 800ml leg bagS 45cm tube 5175 10 3130

Simpla Plus leg bags with two-step safety lock tap and anti-kink tubingS 350ml 6cm tube 21561 10 3078S 350ml 25cm tube 21562 10 3078S 500ml 6cm tube 21571 10 3078S 500ml 25cm tube 21572 10 3078

500ml 50cm tube 21583 10 3011S 750ml 6cm tube 21591 10 3078S 750ml 25cm tube 21592 10 3078

576

Part IXB 11/2019INCONTINENCE APPLIANCES

LEG BAGS

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd S Simpla Plus Syphon Bags

750ml, 6cm tube 21566 10 3131750ml, 25cm tube 21567 10 3131

Simpla Profile Leg Bag with lever lock tap and anti kink tubingS 350ml 6cm tube 21563 10 3034S 350ml 25cm tube 21564 10 3034S 500ml 6cm tube 21573 10 3086S 500ml 25cm tube 21574 10 3086

500ml 50cm tube 21584 10 3086S 750ml 6cm tube 21593 10 3131S 750ml 25cm tube 21594 10 3131

XS Simpla Trident T1 with slide action tap* 350ml short tube 370802 10 3057* 500ml long tube 370817 10 3080* 500ml short tube 370807 10 3080* 750ml long tube 370819 10 3095* 750ml short tube 370809 10 3095* 750ml adjustable long tube 370904 10 3095

S Simpla Trident T2 with lever action tap* 350ml bag short tube 376137 10 3093* X500ml bag short tube 376138 10 3127* X500ml bag long tube 376139 10 3127* 750ml bag short tube 376140 10 3142* X750ml bag long tube 376142 10 3142

DBT Medical Ltd Kipper bagTrans/white without strap and buckle LM886000 1 2539Trans/white LM886001 1 3097All black rubber LM886002 1 3097

Flexicare Medical Ltd

Flexicare leg bag with lever tap outlet, night drainage connector and velcro anti slip strapsS * 350ml short tube 00-1352 10 2260S * 500ml short tube 00-1502 10 2260S * 750ml short tube 00-1752 10 2260S * 350ml long tube 00-2352 10 2260S * 500ml long tube 00-2502 10 2260S * 750ml, long tube 00-2752 10 2260S * 500ml (60cm adjustable tube) 00-3502 10 2300

* 500ml (60cm adjustable tube) 00-3501 10 2188

Flexicare Discreet leg bag with lever tap outletS 350ml short tube 00-5352 10 2460S 500ml short tube 00-5502 10 2460S 750ml short tube 00-5752 10 2460S 350ml long tube 00-6352 10 2460S 500ml long tube 00-6502 10 2460S 750ml, long tube 00-6752 10 2460S 500ml adjustable tube 00-6504 10 2500

Flexicare leg bag with lever tap outlet, night drainage connector, velcro anti slip straps andnon-latex gloves

S * 500ml short tube 00-1502G 10 2410S * 500ml long tube 00-2502G 10 2410

Flexicare Discreet leg bag with lever tap outlet, night drainage connector, velcro anti slipstraps and non-latex gloves

S 500ml short tube 00-5502G 10 2548S 500ml long tube 00-6502G 10 2548

Xto be deleted 1 December 2019

577

11/2019 Part IXBINCONTINENCE APPLIANCES

LEG BAGS

Leg Bags

Manufacturer Appliance Order No. Quantity List Price p

Great Bear Healthcare Ltd

S * Baby Bear paediatric leg bag with soft fabric backing, lever tap and oneelastic non-slip paw print velcro strap

150ml direct inlet 10101B 10 2995150ml adjustable tube 10125B 10 2995

S * Daddy Bear paediatric leg bag with soft fabric backing, lever tap and oneelastic non-slip paw print velcro strap

350ml direct inlet 10103D 10 2976350ml adjustable tube 10151D 10 2976

S * Mummy Bear paediatric leg bag with soft fabric backing, lever tap and oneelastic non-slip paw print velcro strap

250ml direct inlet 10111M 10 3000250ml adjustable tube 10135M 10 3000

Libra Conform 3 chambered leg bag with soft backing and lever action tapS * 500ml short tube 10114Q 10 2934S * 500ml long tube 10115R 10 2934S * 750ml short tube 10116S 10 2966S * 750ml long tube 10117T 10 2966

Libra leg bag with direct inlet and lever tapS * 350ml direct inlet 10130G 10 2842S * 500ml direct inlet 10131H 10 2886S * 750ml direct inlet 10132J 10 2917

WS * 1000ml direct inlet 10133K 10 2943

Libra leg bag with lever tap, overnight connector and elastic non-slip velcro strapsS * 350ml short tube 10100A 10 2863S * 500ml short tube 10102C 10 2906S * 500ml long tube 10104E 10 2906S * 500ml adjustable tube 10105F 10 2906S * 750ml short tube 10106G 10 2938S * 750ml long tube 10108J 10 2938S * 750ml adjustable tube 10110L 10 2938

Libra Leg Bag with non-return valve and lever tapS * 1000ml long tube 10120W 10 2971S * 1000ml adjustable tube 10122Y 10 2971

Hollister Ltd S Leg Bag 500ml/10cm inlet (Regular) 9621 10 3015S Leg Bag 500ml/50cm inlet (Regular) 9624 10 3015S Leg Bag 800ml/10cm inlet (Regular) 9631 10 3026S Leg Bag 800ml/50cm variable inlet (Regular) 9632 10 3026S * Urinary Leg Bag 540ml with direct inlet connector 9814 10 2992S Urinary Leg Bag System containing sterile leg bag, extension tubing and a pair of leg bag

strapsLeg Bag 540ml 9348 12 3117

578

Part IXB 11/2019INCONTINENCE APPLIANCES

LEG BAGS

Leg Bags

Manufacturer Appliance Order No. Quantity List Price pJade-Euro-Med Ltd

* Catheter drainage bag -Large WP205-01-S 1 478Small WP205-05-B 1 478

Kipper bag, black KB 1 3123S * Leg Drainage bag/Direct Inlet

350ml S LBWT/350 10 2679S * Leg Drainage bag/30cm Inlet tube

350ml L LBWT/350 10 2679S * Leg Drainage bag/Direct Inlet

500ml S LBWT/500 10 2679S * Leg Drainage bag/10cm Inlet tube

500ml M LBWT/500 10 2679S * Leg Drainage bag/30cm Inlet tube

500ml L LBWT/500 10 2679S * Leg Drainage bag/Direct Inlet

750ml S LBWT/750 10 2796S * Leg Drainage bag/10cm Inlet tube

750ml M LBWT/750 10 2796S * Leg Drainage bag/30cm Inlet tube

750ml L LBWT/750 10 2796S * Leg Drainage bag/38cm Inlet tube

750ml XL LBWT/750 10 2796Rubber bag with leg strap WS111-05-U 1 4599

S * Jade Close Fit Multi Chamber Leg Drainage Bag with anti kink tubing and soft backingLeg Drainage bag/Direct Inlet 500ml JECB500S 10 2835Leg Drainage bag/10cm Inlet Tube 500ml JECB500M 10 2835Leg Drainage bag/30cm Inlet Tube 500ml JECB500L 10 2835Leg Drainage bag/38cm Inlet Tube 500ml JECB500XL 10 2835

LINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd)

LINC-Flo sterile leg drainage bag with tap outlet, overnight connector and elastic velcro straps. Containing 10 pairs of straps per box of 10 leg bags

S 350ml 10cm inlet tube, T-tap LM350MD-T 10 2072S 350ml direct inlet tube, T-tap LM350SD-T 10 2072S 500ml 10cm inlet tube, Lever Tap LM500MD-L 10 2227S 500ml 30cm inlet tube, Lever Tap LM500LD-L 10 2227S 500ml adjustable inlet tube, Lever Tap LM500AD-L 10 2201S 500ml direct inlet tube, Lever Tap LM500SD-L 10 2227S 500ml 10cm inlet tube, T-tap LM500MD-T 10 2231S 500ml 30cm inlet tube, T-tap LM500LD-T 10 2231S 500ml adjustable inlet tube, T-tap LM500AD-T 10 2231S 500ml direct inlet tube, T-tap LM500SD-T 10 2231S 750ml 10cm inlet tube, T-tap LM750MD-T 10 2228S 750ml 30cm inlet tube, T-tap LM750LD-T 10 2228S 750ml adjustable inlet tube, T-tap LM750AD-T 10 2228S 750ml direct inlet tube, T-tap LM750SD-T 10 2228S 750ml adjustable inlet tube, Lever Tap LM750AD-L 10 2228

S Panda baby bag100ml with direct tube LM100SD-L 10 2850100ml with 10cm tube LM100MD-L 10 2850100ml with 30cm tube LM100LD-L 10 2850200ml with direct tube LM200SD-L 10 2850200ml with 10cm tube LM200MD-L 10 2850200ml with 30cm tube LM200LD-L 10 2850

579

11/2019 Part IXBINCONTINENCE APPLIANCES

LEG BAGS

Manufacturer Appliance Order No. Quantity List Price p

MacGregor Healthcare Ltd

S Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cotton velcro straps per box of 10

500ml, long tube Q Flow Lever Tap 12161504 10 2264 K

750ml, long tube Q Flow Lever Tap 12361504 10 2264 K500ml, long tube T-tap 12151504 10 2264 K750ml, long tube T-tap 12351504 10 2264 K

S Qufora Sterile Leg Bags, containing 1 pair of non-latex gloves and soft elasticated cottonvelcro straps per box of 10

500ml, short tube Q Flow Lever Tap 12161804 10 2264 K500ml, short tube T-tap 12151804 10 2264 K750ml, short tube Q Flow Lever Tap 12361804 10 2264 K

750ml, short tube T-tap 12351804 10 2264 K

Manfred Sauer UK Ltd

Discreet Thigh Bag, overnight connector tube and fabric/velcro leg straps(1 pair per box of 10)

S * 450ml diagonal direct inlet tube suitable forsuprapubic catheter connection

70.04S 10 2558

S * 400ml straight direct inlet tube 70.06S 10 2558

Discreet Thigh Bag, overnight connector tube, latex free system, soft wide and narrow straps (1 pair per box of 10)

S * 500ml straight direct inlet tube, twist tap 720.3200S 10 3043S * 500ml diagonal direct inlet tube, twist tap 721.3200S 10 3043

Bendi Bag leg bag with tap outlet, overnight connector tube and fabric/velcro leg straps(1 pair per box of 10)

* 700ml Direct inlet tube, swing tap 70.33-04 10 2383* 700ml 12cm inlet tube, swing tap 70.33-12 10 2382* 700ml 20cm inlet tube, swing tap 70.33-20 10 2382* 700ml 35cm adjustable inlet tube, swing tap 70.33-35adj 10 2383* 700ml 35cm adjustable inlet tube, slide tap 70.33-35Padj 10 2383

S * 700ml Direct inlet tube, swing tap 70.33-04S 10 2730S * 700ml 12cm inlet tube, swing tap 70.33-12S 10 2730S * 700ml 20cm inlet tube, swing tap 70.33-20S 10 2730S * 700ml 35cm adjustable inlet tube, swing tap 70.33-35Sadj 10 2752* W 1300ml Direct inlet tube, swing tap 70.47-04 10 2383* W 1300ml 12cm inlet tube, swing tap 70.47-12 10 2382* W 1300ml 20cm inlet tube, swing tap 70.47-20 10 2382* W 1300ml 35cm adjustable inlet tube, swing tap 70.47-35adj 10 2383* W 1300ml 35cm adjustable inlet tube, slide tap 70.47-35Padj 10 2383

* S W 1300ml Direct inlet tube, swing tap 70.47-04S 10 2752* S W 1300ml 12cm inlet tube, swing tap 70.47-12S 10 2752* S W 1300ml 20cm inlet tube, swing tap 70.47-20S 10 2752S W 1300ml 35cm adjustable inlet tube, swing tap 70.47-35Sadj 10 2752

580

Part IXB 11/2019INCONTINENCE APPLIANCES

LEG BAGS

Manufacturer Appliance Order No. Quantity List Price p

Manfred Sauer UK Ltd

Bendi Bag leg bag, 10 overnight connector tubes, latex free system, soft wide and narrowstraps (1 pair per box of 10) and needle free sample port

W S * 1300ml 12cm inlet tube, twist tap TBB13S 10 3017S * 700ml 12 cm inlet tube, twist tap TBB07S 10 2993

Comfort Leg Bag 600ml with universal adapter, 2 straps and 1 latex connectorDirect inlet glued adapter, swing tap 710.1104 10 256815cm inlet adjustable, swing tap 710.1315adj 10 256845cm inlet adjustable, swing tap 710.1345adj 10 2568Direct inlet glued adapter, push valve/sliding tap 710.2104 10 256815cm inlet adjustable, push valve/sliding tap 710.2315adj 10 256845cm inlet adjustable, push valve/sliding tap 710.2345adj 10 2568

Comfort Leg Bag 600ml with universal adapter, 1x 4cm wide top strap & 1 x 2cm wide bottom strap and 3 latex connectors.

S * Direct inlet glued adapter, swing tap 710.1204S 10 2747S * 15cm inlet adjustable, swing tap 710.1415Sadj 10 2770S * 45cm inlet adjustable, swing tap 710.1445Sadj 10 2770S * Direct inlet glued adapter, push valve/sliding tap 710.2204S 10 2747S * 15cm inlet adjustable, push valve/sliding tap 710.2415Sadj 10 2747S * 45cm inlet adjustable, push valve/sliding tap 710.2445Sadj 10 2770

Comfort Leg Bag 600ml, twist tap with connecting tube attached, needle free sample portand universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10)

S * 49cm inlet tube twist tap T710S 10 2961

Comfort Leg Bag 1000ml, twist tap with connecting tube attached, needle free sample portand universal adapter, latex free system, soft wide and narrow straps (1 pair per box of 10)

S * 49cm inlet tube twist tap T711S 10 3017

Comfort Leg Bag "R" 600ml with universal adapter, 2 straps and 10 latex adaptersS * 45cm inlet adjustable, reverse swing tap, attached night bag adapter

R710.1445SOadj 10 2986

Comfort Leg Bag "XR" 1000ml with universal adapter, 2 straps and 10 latex adaptersS * 45cm inlet adjustable, reverse swing tap, attached night bag adapter.

R711.1445SOadj 10 3043S Smartflow Children’s leg bag

210ml, direct inlet CBDirectS 10 3027210ml, 30cm adjustable inlet CB30S 10 3002

OptimumMedicalSolutions

S * Ugo leg bags with non-return valve, needle free sample port, outlet connector, soft fabricbacking and a pair of non-latex Ugo fix leg bag straps

Ugo 5C 350ml, direct inlet, Lever Tap 5C/350/DI/L 10 2424Ugo 6C 350ml, short tube, Lever Tap 6C/350/ST/L 10 2424Ugo 1C 500ml, short tube, Lever Tap 1C/500/ST/L 10 2424Ugo 2C 500ml, long tube, Lever Tap 2C/500/LT/L 10 2424Ugo 3C 500ml, short tube, T-tap 3C/500/ST/T 10 2424Ugo 4C 500ml, long tube, T-tap 4C/500/LT/T 10 2424Ugo 7C 750ml, short tube, Lever Tap 7C/750/ST/L 10 2424Ugo 8C 750ml, long tube, Lever Tap 8C/750/LT/L 10 2424

581

Part IXB 11/2019INCONTINENCE APPLIANCES

LEG BAGS

OptimumMedicalSolutions

S * Ugo leg bags with non-return valve, needle free sample port, outlet connector, non-fabricbacking and a pair of non-latex Ugo fix leg bag straps

Ugo 1H 500ml, short tube, Lever Tap 1H/500/ST/L 10 2394Ugo 2H 500ml, long tube, Lever Tap 2H/500/LT/L 10 2394Ugo 3H 500ml, short tube, T-tap 3H/500/ST/T 10 2394Ugo 4H 500ml, long tube, T-tap 4H/500/LT/T 10 2394

S G & P Payne * Incontiaid leg bag500ml 0830 10 3106750ml 0831 10 3077

GU Black Butyl (or Latex) Rubber Kipper (SP, St. Peter's) BagsStandard single chambered bag 568ml 0922/GU532 1 4925Ross type. As above, but with reinforced patches

0926/GU532/R 1 5621

Standard 568ml bag with box outlet tap 0924/GU532/LT 1 6070Standard 568ml bag with short neck for females

0925/GU532/F 1 4925

Standard 1136ml bag for night use 0923/GU532/40 1 6630

Rubber bag for catheter drainage, short neck leg strap

SP/1 1 3376

Female rubber drainage bag with conical mount SP/5 1 3204As above with web belt and looped support strap SP/5a 1 3777

RichardsonHealthcareLtd

S * Silca Leg Bags* 350ml short tube 720350 10 2250* 350ml long tube 730350 10 2250* 500ml short tube 720500 10 2250* 500ml long tube 730500 10 2250* 750ml short tube 720750 10 2250* 750ml long tube 730750 10 2250

Teleflex S Rusch Leg bag350ml, 10cm tubing slide tap 850361-000350 10 2190350ml, 10cm tubing lever tap 850363-000350 10 2190350ml, 30cm tubing slide tap 850362-000350 10 2190350ml, 30cm tubing lever tap 850364-000350 10 2190500ml, 10cm tubing slide tap 850361-000500 10 2394500ml, 10cm tubing lever tap 850363-000500 10 2394500ml, 30cm tubing slide tap 850362-000500 10 2394500ml, 30cm tubing lever tap 850364-000500 10 2394750ml, 10cm tubing lever tap 850363-000750 10 2394750ml, 30cm tubing lever tap 850364-000750 10 2394

S Teleflex 3-chamber leg bag with elastic non-slip velcro straps500ml, 10cm tubing lever tap 850356-000000 10 2852500ml, 30cm tubing lever tap 850355-000000 10 2852

Manufacturer Appliance Order No. Quantity List Price p

582

11/2019 Part IXBINCONTINENCE APPLIANCES

LEG BAGS

Manufacturer Appliance Order No. Quantity List Price p

UnomedicalLtd

S Careline Leg Bag with tap outlet, overnight connection tube and elasticated velcro straps(1 pair per box of 10)

* 350ml short tube 45-01 SVC 10 2676* 350ml long tube 45-02 LVC 10 2676* 500ml short tube 45-05 SVC 10 2653* 500ml long tube 45-06 LVC 10 2653* 750ml short tube 45-09 SVC 10 2653* 750ml long tube 45-10 LVC 10 2653S Careline Leg Bag with lever tap * 500ml short tube 46-05-SVC 10 2653 * 500ml long tube 46-06-LVC 10 2653 * 750ml short tube 46-09-SVC 10 2805 * 750ml long tube 46-10-LVC 10 2805

S Careline+ Leg Bag with tap outlet, overnight connection tube, 1 pair of non-latex gloves and elasticated velcro straps (1 pair per box of 10)

* 350ml short tube (with gloves) 45-01-SVCG 10 2569* 350ml long tube (with gloves) 45-02-LVCG 10 2569* 500ml short tube (with gloves) 45-05-SVCG 10 2548* 500ml long tube (with gloves) 45-06-LVCG 10 2548* 750ml short tube (with gloves) 45-09-SVCG 10 2548* 750ml long tube (with gloves) 45-10-LVCG 10 2548S Careline+ Leg Bag with lever tap and 1 pair of non-latex gloves* 500ml short tube (with gloves) 46-05-SVCG 10 2548* 500ml long tube (with gloves) 46-06-LVCG 10 2548* 750ml short tube (with gloves) 46-09-SVCG 10 2693* 750ml long tube (with gloves) 46-10-LVCG 10 2693

Ward Surgical Appliance Co

Kipper bag, black trans or white rubber WM64 1 2332* Leg drainage bag

350ml WM65 10 1126500ml WM66 10 1161750ml WM67 10 1230

Ward's Comfort Range* Leg drainage bag

350ml WM68 10 1131500ml WM69 10 1163750ml WM70 10 1223

583

11/2019 Part IXBINCONTINENCE APPLIANCES

NIGHT DRAINAGE BAGS

These bags are suitable for night-time use for the collection of urine from indwelling catheters or incontinence sheaths. They are generally used in conjunction with a bag hanger which, being a nursing aid, is not prescribable. Supply arrangements for bag hangers tend to vary throughout the country but they are normally supplied through the community nursing service.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Note: The drainage bags listed below except non-drainable bags, have a life-in-use of, on average 5-7 days.Symbols used in this section

V Non-drainable bagsS These Night Drainage Bags are supplied sterileU Single Use Only* Plastics

Manufacturer Appliance OrderNo.

Quantity List Price p

A1 Pharmaceuticals V Uriline Non sterile 2 litre bag A1 10 205V Uriline Non sterile 2 litre bag with non-return

valveA2 10 220

S Uriline 2 litre bag with non-return valve and tap

A4 10 1100

B Braun Medical Ltd Urimed drainable night drainage bag, 2 litre 28300A 10 1761

Bard Ltd S Spirit Bed Bags, 2 litre with 120cm tube length, lever tap, 1 pair of latex free sterile gloves and needle free sample port

DSBB2000 10 1109

# Uriplan collection bag, 2 litre with 90cm inlet tube and non-return valve

D8420 10 267

S Uriplan drainage bag, 2 litre with 98cm inlet tube, non-return valve and tap outlet

D813131 10 1359

U Uriplan One MT 2 litre bag with drainage tap D1MT 10 343D1MT30 30 1030

Beambridge Medical 2 litre drainage bag with wide bore tube & lever tap with long inlet tube

6-56 10 1580

2 litre drainage bag with wide bore short 10cm inlet tube and Lever tap outlet

6-57 10 1556

2 litre drainage bag with wide bore short 10cm inlet tube and T tap outlet

6-58 10 1556

CliniSupplies Ltd S Prosys Sterile 2 litre night bag with 90cm inlet tube, non-return valve, sample port connector, slide outlet tap and 1 pair of non latex gloves

P2000 10 1217

S Prosys Sterile 2 litre night bag with 90cm inlet tube, non-return valve, sample port connector, lever outlet tap and pair of non latex gloves

P2000-LT 10 1217

U Prosys Non-sterile 2 litre night bag with single use drainable tap

PSU2 10 309

V Prosys Non Sterile 2 litre night bag with 90cm inlet tube and non-return valve

P2 10 209

584

Part IXB 11/2019INCONTINENCE APPLIANCES

NIGHT DRAINAGE BAGS

Manufacturer Appliance OrderNo.

Quantity List Price p

Coloplast Ltd Coloplast 2 litre night bag with 120cm anti-kink tubing

21365 10 1787

S Conveen standard urine collection bag 1.5litre

5063 10 1557

S Simpla 2 litre S5 Urine drainage bag 346145 10 1325Simpla 2 litre S4 Urine drainage bag -

S long tube 340805 10 1466# Simpla 2 litre S2 Urine drainage bag with non-

return valve with standard size connector320902 10 296

S Simpla Plus 2 litre night bag with 120cm anti-kink tubing

21576 10 1824

S Simpla Profile 2 litre Night Bag with lever lock tap and 120cm anti-kink tubing

21578 10 1790

ConvaTec Ltd Night drainage bag S320 5 934

Dansac Ltd Dansac night drainage bag 2 litre 420-00 10 1318

Flexicare Medical Ltd

S Flexicare F4, sterile 2 litre drainage bag with 100cm inlet tube, non-return valve and tap outlet

00-1200 10 967

S Flexicare F4L, sterile 2 litre drainage bag with 100cm inlet tube, non-return valve and lever tap outlet

00-1201 10 987

# Flexicare F2, 2 litre drainage bag with 100cm inlet tube and non-return valve

00-2202C 10 214

U Flexicare F2 EZ 2 litre drainage bag withsingle use snap twist-off tap

00-2203C 10 327

U Flexicare F2 EZB 2 litre drainage bag with single use snap twist-off tap at bottom of bag

00-2208C 10 300

Great Bear Healthcare Ltd

V GB2 2 litre non-sterile night bag with non-return valve and anti-kink tubing

10300S 10 273

U GB3 2 litre non-sterile night bag with non-return valve and single use T-tap

10303V 10 338

SU GB3S sterile single use 2 litre night bag withsingle use T-tap

10GB3S 10 587

S* GB4 2 litre sterile night bag with tap, non-return valve, sample port and anti-kink tubing

10400W 10 1383

S* GB4 FOLD UP 2 litre sterile drainable nightbag with a foldable lever action tap, non-return valve, sample port and star formed anti-kink tubing

10402Y 10 1448

U GB5 3 litre night bag with 120cm tube, singleuse T-tap and safety clip

10330Y 10 596

S GB6 3 litre sterile night bag with 120cm tube,sample port, non-return valve and lever actiontap

10430U 10 1748

Hollister Ltd V Night drainage bag 2000ml (Non-Drainable)

9651 10 267

S Night drainage bag 2000ml (Drainable)

9650 10 1351

Hollister urostomy night drainage bag 5550 10 1253

585

11/2019 Part IXBINCONTINENCE APPLIANCES

NIGHT DRAINAGE BAGS

Manufacturer Appliance OrderNo.

Quantity List Price p

Jade-Euro-Med Ltd S 2 litre drainage bag with tap outlet 2LNB 1 175U Jade J2S 2 litre drainage bag with tap outlet J2S 10 360

LINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd)

U LINC-Flo non-sterile 2 litre overnight drainage bag with 100cm inlet tube, non-return valve and twist off tube outlet

LM2LNS 10 213

SU LINC-Flo sterile 2 litre overnight drainage bag with 100cm inlet tube, non-return valve and twist off tube outlet

LM2LS 10 265

SU LINC-Flo sterile 2 litre urinary drainage bagwith single use T-tap

LM2LS-T 30 1000

SU LINC-Flo sterile 3 litre urinary drainage bagwith single use T-tap

LM3LS-T 30 1500

S LINC-Flo 2 litre drainage bag with T-tap, 120cm tube, non-return valve, antibacterial filter, Pasteur drip chamber, integral handle and a pair of nitrile gloves

TZ01 10 1620

S LINC-Flo 2 litre drainage bag with lever tap, 120cm tube, non-return valve, antibacterial filter, Pasteur drip chamber, integral handle and a pair of nitrile gloves

TZ01-L 10 1620

S LINC-Flo 2 litre drainage bag with T-tap, 120cm tube, non-return valve, antibacterial filter, integral handle and a pair of nitrile gloves

TZ02 10 1215

S LINC-Flo 2 litre drainage bag with lever tap, 120cm tube, non-return valve, antibacterial filter, integral handle and a pair of nitrile gloves

TZ02-L 10 1215

SU LINC-Flo 3 litre drainage bag with non-return valve with twist off tube outlet and a 120cm tubing length

LM3LS 10 524

S LINC-Flo urinary drainage bag with T-tap and a pair of nitrile gloves

SLC13 10 952

S LINC-Flo urinary drainage bag with lever tap and a pair of nitrile gloves

SLC13-L 10 952

586

Part IXB 11/2019INCONTINENCE APPLIANCES

NIGHT DRAINAGE BAGS

Manufacturer Appliance OrderNo.

Quantity List Price p

MacGregorHealthcare Ltd

S Qufora Q4 2 litre drainable night bag with 120cm inlet tube, non-return valve, needle free sample port connector, tube clamp T valve tap and pair of non latex gloves

14853204 10 967K

S Qufora U4 2 litre drainable night bag with 120cm inlet tube, non-return valve, sample port connector, tube clamp lever valve tap and pair of non latex gloves

14823204 10 967K

S Qufora S4 2 litre drainable night bag with 120cm inlet tube, non-return valve, sample port connector, tube clamp lever valve tap, plastic flap to tuck in tap and pair of non-latex gloves

14851204 10 967K

V Qufora 2 litre non-sterile night bag with 90cm inlet tube

13800101 10 207K

Manfred Sauer UK Ltd

3 litre drainable night bag, lever tap, 130cm inlet tube

NB3D 10 1770

V 3 litre night bag with 130cm inlet tube NB3ND 10 534Smartflow 2 litre drainable night bag, swingtap, 120cm inlet tube and non return valve

NB2 10 1717

V Smartflow 2.6L drainage bag non sterile with90cm kink resistant inlet tube

NB26 10 540

Neomedic Ltd S Neovac 2000ml urine drainage bag with 90cminlet tube and non-return valve

NVB2 10 220

Optimum Medical Solutions

Ugo 4weeks kit (contains 28 Ugo 10 night drainage bags, 4 Ugo leg bags, 4 Ugo fixleg bag straps, 4 Ugo fix gentle catheter clips and 1 Ugo hanger

Ugo 4weeks 1C (500ml, short tube, lever tap)

3014 1 2978

Ugo 4weeks 2C (500ml, long tube, lever tap)

3015 1 2978

Ugo 4weeks 3C (500ml, short tube, T-tap)

3016 1 2978

Ugo 4weeks 4C (500ml, long tube, T-tap) 3017 1 2978UV Ugo 9 (non sterile 2 litre bag single use with

tear top drainage and 90cm inlet tubing)9/NS/SU/DO 10 210

U Ugo 10 (non sterile 2 litre bag with single use T tap drainage and 90cm inlet tubing)

10/NS/SU/DO 10 312

SU Ugo 11 (sterile 2 litre bag with single use T tap drainage and 90cm inlet tubing)

11/S/SU/DO 10 499

S Ugo 12 (sterile 2 litre bag, needle free sample port with 90cm inlet tubing and lever tap drainage)

12/S/D/L 10 1229

S Ugo 13 (sterile 2 litre bag, needle free sample port with 90cm inlet tubing and T tap drainage)

13/S/D/T 10 1229

Peak Medical Ltd EuroTec 2 litre night drainage bag with 130cmwide-bore tube, non-return valve and slide tap

NDB 10 10 1400

587

11/2019 Part IXBINCONTINENCE APPLIANCES

NIGHT DRAINAGE BAGS

Pelican Healthcare Ltd

V Pelican 2 litre night drainage bag with non-return valve

133100 10 288U

Pelican 2 litre night drainage bag with non-return valve and lever tap outlet

133200 10 1440

RichardsonHealthcare Ltd

S Silca Night Bags 710200 10 995

Salts Healthcare 2 litre urine drainage bags ZL0400 10 1483

Teleflex U 2 litre non-sterile night bag with single use drainable tap

850422 30 965

S Rusch Night Drainage Bag2 litre slide tap 850420 10 10892 litre lever tap 850421 10 1089

Unomedical Ltd # Careline E1, 2 litre urine drainage bag with90cm inlet tube

45-30-LBC 10 236

# Careline E2, 2 litre urine drainage bag with90cm inlet tube and non-return valve

45-40-LBC 10 251

S Careline E4, 2 litre urine drainage bag with 90cm inlet tube and non-return valve and tap outlet

45-20-IDC 10 1233

S Careline+ E4, 2 litre Night Bag with 103cm inlet tube, non-return valve, T-tap outlet and gloves

45-20-IDCG 10 1184

S Careline+ E4, 2 litre Night Bag with 103cm inlet tube, non-return valve, lever tap and gloves

46-20-IDCG 10 1165

S Careline E4 Night Bag, 2 litre with lever tap 46-20-IDC 10 1213U Careline Easi MT 2 litre drainage bag with

90cm inlet tube, non-return valve and single use twist off drainage outlet

47-60-LBH 10 344

S Unomedical A4 2 litre sterile closed systembag with 120cm inlet tube and T tap outlet

38 162 1S-20 30 3321

Ward Surgical Appliance Co

2 litre drainage bag with outlet and non- outlet WM71 10 1224

Welland Medical Ltd Welland Night Drainage Bag with Easiflo 2 litre

ND700 5 743

Manufacturer Appliance OrderNo.

Quantity List Price p

588

11/2019 Part IXBINCONTINENCE APPLIANCES

SUSPENSORY SYSTEMS

These appliances should not be confused with leg bag garments which are not prescribable. Each system comprises a drainage bag with its means of support.

Note: The bags may be used for 5-7 days, sometimes longer, but the support systems will have a much longer life.

Products marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.

Symbols used in this section* Plastics

Manufacturer Appliance OrderNo.

Quantity List Price p

GTA (UK) Ltd o LiteBag 600ml drainage bag 50070600 10 5530

Jade-Euro-Med Ltd o Portabag Left Hand Inlet JEPB/L 10 1949o Portabag Right Hand Inlet JEPB/R 10 1949

Portabelt JEPB/B 1 992

LINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd)

o LINC-Flo urinary drainage bag750ml, T-tap LM750NDB 10 3350

Manfred Sauer UK Ltd NephSys: Nephrostomy drainage systemContains 4x 500ml sterile drainage bags, 2x bag suspenders, 1x waist belt

o Small belt (20cm inlet) NephSys.01S 1 3746o Small belt (30cm inlet) NephSys.01L 1 3746o Adult Belt (20cm inlet) NephSys.02S 1 3746o Adult Belt (30cm inlet) NephSys.02L 1 3746

NephSys: Replacement beltsSmall NSBelt.01 1 2021Adult NSBelt.02 1 2021

NephSys: 500ml sterile drainage bago 20cm inlet NS721.1720S 10 4312o 30cm inlet NS721.1730S 10 4312o 20cm inlet, twist tap NS721.3720S 10 4271o 30cm inlet, twist tap NS721.3730S 10 4271

Pioneer Medical Europe Ltd

Hi N Dry Collection Systemo Pouches SCSP05 5 3533

Support Brief(S, M, L, XL, XXL) SCSSB01 1 932

Teleflex o Rusch Belly Bag (includes belt)(Each bag may be used for up to 28 days)

B1000 1 1089

o Rusch Belly Bag with extended drainage tubing

B1000CT 1 1089

o Rusch Belly Bag with sample port B1000P 1 1089

589

11/2019 Part IXBINCONTINENCE APPLIANCES

TUBING AND ACCESSORIES

Manufacturer Appliance Order No. Quantity List Price p

Bard Ltd Leg bag straps (washable) pairs 15LS 5 1499Leg bag straps, Latex 8440 20 303Leg bag straps, foam/velcro 8441 20 577Urisleeve leg bag holder

Small (24-39cm) 150111 4 836Medium (36-55cm) 150121 4 836Large (40-70cm) 150131 4 836Extra Large (65-95cm) 150141 4 827

Beambridge Medical Beambridge Flexi Funnel 6-FF1 1 1100Beambridge Adult Funnel Short 6-37 1 1355Beambridge Male Funnel 6-35 1 1355Beambridge Lady Funnel Female Urinal Director/Positioner

6-40 1 1410

Beambridge Mini Funnel Male Urinal Director/Positioner

6-35M 1 1355

Beambridge Youth Funnel 6-38 1 1355Beambridge Extension Tube 6-39 1 277

CliniSupplies Ltd Prosys Catheter Retaining StrapShort PCS40 5 1220Adult PCS50 5 1240Abdominal PCS85 5 1369

Prosys Leg Bag SleeveSmall (24-40cm) PLS3881 4 770Medium (36-50cm) PLS3904 4 770Large (40-65cm) PLS3928 4 770

Soft elasticated cotton leg bag supportstraps with silicone leg grip

P10LS 10 1302

Coloplast Ltd Velcrobands (washable) 5050 20 4413Aquasleeve

Small (leg circum. 24-33cm) 783678 4 864Standard (leg circum. 34-39cm) 783680 4 864Medium (leg circum. 40-46cm) 783686 4 864Large (leg circum. 47-64cm) 783694 4 864Extra Large (leg circum. 65cm+) 783708 4 846

Elasticated leg bag straps (washable)pairs

380812 5 1603

Simpla G-Strapadult 383001 5 1468abdominal 383003 5 1619

Covidien UK Commercial Ltd

Argyle Penrose Tubing6mm ID, length 44cm 8888514604 50 30758mm ID, length 44cm 8888514802 50 307510mm ID, length 44cm 8888515007 50 307513mm ID, length 44cm 8888515205 50 307516mm ID, length 44cm 8888515403 50 307519mm ID, length 44cm 8888515601 50 307525mm ID, length 44cm 8888515809 50 3075

DBT Medical Ltd 35.5cm connecting tube for drip urinal LM754136 1 309

Flexicare Medical Ltd

Leg bag straps (pairs); washable, antislip with velcro fastening

00-0032C 10 1170

590

Part IXB 11/2019INCONTINENCE APPLIANCES

TUBING AND ACCESSORIES

Forte Medical Ltd Peezy Midstream Universal standard (urine collection kit for midstream sample with 30ml bottle)

D950 1 99

Peezy Midstream Universal with boric acid (urine collection kit for midstream sample with 30ml bottle)

PE 41 1 99

Peezy Midstream Primary with boric acid (urine collection kit for midstream sample with 10ml bottle)

PE 51 1 99

Peezy Midstream Primary standard (urine collection kit for midstream sample with 10ml bottle)

PE 50 1 99

G F Products Safehold StrapsPack of 2 Body straps with tube holders

B 1 127

Pack of 2 longer life G Straps LGS/2 1 196

Great Bear Healthcare Ltd

GB Fix-it Retaining Strap (Cut to fit)Short 35cm 10646C 5 1445Medium 45cm 10644A 5 1445Long 80cm 10645B 5 1581Adjustable 150cm 10647D 5 1822

Libra Leg Bag HolderSmall (30-45cm) 10660S 4 868Medium (45-65cm) 10655M 4 868Large (55-80cm) 10654L 4 868X-Large (65-90cm) 10665X 4 868

Libra leg bag strap with non-slip silicone backingCalf 10622C 10 1429Thigh 10637T 10 1429

Mummy and Baby Bear Leg Bag Straps with non-slip silicone backing30cm x 5cm 10633P 5 143550cm x 5cm 10657P 5 1537

Hollister Ltd Deluxe Leg bag straps35cm (extra small) 9663 2 33738cm (small) 9660 2 33749cm (medium) 9661 2 33756cm (large) 9662 2 337

Leg bag holstersSmall 9612 4 848Medium 9613 4 848Large 9614 4 848

Leg bag straps, Elasticated and washable

9625 10 1439

Leg bag straps35.5cm (calf) 9342 2 34258.5cm (thigh) 9343 2 342

Manufacturer Appliance Order No. Quantity List Price p

591

Part IXB 11/2019INCONTINENCE APPLIANCES

TUBING AND ACCESSORIES

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-Med Ltd Euro J-strap JEJS 5 1416Eurosleeve

Small (24-33cm) JES1 4 844Standard (34-39cm) JES2 4 844Medium (40-46cm) JES3 4 844Large (47-64cm) JES4 4 844

Eurosleeve All in One Small (24-39cm Yellow) JES6 4 845Medium (36-55cm Blue) JES7 4 845Large (40-70cm Brown) JES8 4 845

Leg bag connecting tube with mount LBCTM 1 293Leg bag connecting tube LBCT 1 170Velcro leg straps VLS 2 219Female connector for Mitcham bag WH566-01-G 1 262Rubber extension tube (with mounts) WS152-01-M 1 586Night bag connector WH533-01-C 1 158Spare "O" rings for pp urinal WR045-01-R 5 149

JBOL Ltd Whiz Cleancatch Midstream (Urine collection device for midstream sample)with boric acid C8B30 30ml 96no boric acid C830 30ml 94

Whiz Urine Director ATD2002.1 1 872Whiz Urine Director (with 10cm connecting tube)

ATD2004.10 1 1054

LINC Medical Systems Ltd

Leg Bag SleeveSmall (24-39cm) ME350-750S S 4 740Medium (36-55cm) ME350-750S M 4 740Large (40-70cm) ME350-750S L 4 740X Large (65-95cm) ME350-750S XL 4 740XX Large (75-105cm) ME350-750S XXL 4 740

MacGregor Healthcare Ltd

Qufora Leg bag straps, latex free with velcro fastening

21100301 10 2072 K

Manfred Sauer UK Ltd

K+ICS Sheath Expander 100.01 1 7346(can only be used to expand Manfred Sauer K+ICS Sheaths over the penis to allowfor clean intermittant self catheterisation - see Incontinence Sheaths section this publication for Manfred Sauer K+ICS Sheaths, order no. 103.nn).K+ICS Sheath Tips 100.05 10 1834(can only be used with Manfred Sauer K+ICS Sheaths - see Incontinence Sheaths section of this publication for Manfred Sauer K+ICS Sheaths, order no. 103.nn.)Leg Bag to Night Bag Latex Connectors 55.38-10 10 303

Q Leg Bag to Night Bag Latex Free Connectors

55.40-10 10 301

Leg bag straps latex freebottom (20mm x 400mm) LB.BLF 1 127narrow (20mm x 500mm) LB.NLF 1 127wide (38mm x 595mm) LB.WLF 1 212wide P (38mm x 595mm) LB.P-5 5 1063

p.hold Penis Director/Positioner & Holder/Stretcher Normal 2cm thick (blue) PHN 1 380Wide 4cm thick (green) PHW 1 380

QThis product code will change in the 1 March 2019 Drug Tariff

592

11/2019 Part IXBINCONTINENCE APPLIANCES

TUBING AND ACCESSORIES

Manufacturer Appliance Order No. Quantity List Price pOptimum Medical Solutions

Ugo fix Catheter StrapsExtra Short 35cm 3001 5 1284Short 45cm 3002 5 1284Medium 80cm 3003 5 1418Long 130cm 3009 5 1726Extra Long 180cm 3010 5 1932

Ugo fix leg bag straps (45cm and 75cm pairs) 3011 10 1346

Ugo fix Sleeve Leg Bag HolderSmall (24-39cm) 3005 4 748Medium (36-55cm) 3006 4 748Large (40-70cm) 3007 4 748Extra Large (65-90cm) 3008 4 748Extra Extra Large (75-105cm) 3027 4 833

S G & P Payne 152mm Rubber extension tube 1201 1 417Non-Spill Adaptor 1351 1 721Velcro leg strap 1001 2 229Rubber leg strap 1003 1 146

Rochester Medical Ltd

Loc-Strap catheter retaining strap 49999 5 1448

Shewee Ltd Shewee Urine Director SW01 1 275

Teleflex Teleflex velcro straps (pair) 850360-420025 1 270

U-drain Ltd U-drain consumable pack U/D-CTN-002 1 6500(contains connecting tubes (with straight connectors), syringes, bed clips and emergency night drainage bags)

U-drain consumable pack U/D-CTN-003 1 6500(contains connecting tubes, syringes, bed clips and emergency night drainage bags)

U-drain consumable pack U/D-CTN-004 1 6500(contains connecting tubes (with tapered ridge connectors), flushing syringes, bed clips and emergency night drainage bags)

U-drain consumable extension pack U/D-CTN-001 1 4500(contains connecting tubes (with straight connectors)

Unomedical Ltd Careline CareSleeveSmall (30-45cm) 46-LS-01 4 847Medium (45-65cm) 46-LS-03 4 847Large (55-80cm) 46-LS-05 4 847Extra Large (65-90cm) 46-LS-07 4 847

Careline leg bag straps 45-85-EX 10 1471

593

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

The devices listed below are specialist appliances which comprise several components and need to be correctlyfitted by someone competent to do so. Generally patients should have 2 appliances, one to wear and one towash.Note: In general the individual components can be prescribed separately for replacement purposes. With propercare and cleansing, each appliance should last for 6 months.Products marked with the following symbol o in this category must be dispensed with a supply of wipesand disposal bags.

Urinal Systems

Manufacturer Appliance Order No. Quantity List Price pBard Ltd Maguire urinal and adaptor

waist sizes66-81 cm 050802 1 725281-96 cm 050803 1 725296-112 cm 050804 1 7252

BeambridgeMedical

Beambridge Bed Bottle closed end 6-BBC 1 1200Beambridge Bed Bottle with tap 6-BBT 1 1410Beambridge Bed Bottle without tap 6-BB 1 1410

o Beambridge Bottle Bag 6-80 10 3020o Beambridge Bottle Bag without tap 6-85 10 3020o Beambridge Drainage Bags for use with

Beambridge Urinals6-55 10 1581

Beambridge Lady Jug 6-45 1 1578Beambridge Pod with tap 6-60T 1 1466Beambridge Pod without tap 6-60 1 1466Bridge Saddle urinal 6-26 1 1467Bridge urinal 6-18 1 1467Bridge urinal with tap 6-18T 1 1467Male Draining Jug 6-50 1 1467Male Draining Jug with tap 6-50T 1 1467Male Urine Bottle (closed end) 6-51 1 1425

C S Bullen Ltd o Acti-Brief Plus Male Urine Collection System with 10 pouchesSizes S, M, L, XL, XXLFlange size 20mm ABPlus/18/20 1 4033

25mm ABPlus/18/25 1 403327.5mm ABPlus/18/27.5 1 403330mm ABPlus/18/30 1 403332.5mm ABPlus/18/32.5 1 403335mm ABPlus/18/35 1 403340mm ABPlus/18/40 1 4033

o Replacement pouches for ABPlus18 SPlus18 15 3256o Original acti brief uri-drain system with 10 pouches

Sizes S, M, L, XLFlange size 20mm AB/18/20 1 2496

25mm AB/18/25 1 249627.5mm AB/18/27.5 1 249630mm AB/18/30 1 249632.5mm AB/18/32.5 1 249635mm AB/18/35 1 249640mm AB/18/40 1 2496

o Uri-Drain System with 10 pouchesFlange Size 20mm LU18/20 1 2496

25mm LU18/25 1 249627.5mm LU18/27.5 1 249630mm LU18/30 1 249632.5mm LU18/32.5 1 249635mm LU18/35 1 249640mm LU18/40 1 2496

o Replacement pouches for LU18 SP18 15 2601

594

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pC&G Medicare Ltd

Urox Starting Kit 5011 1 5000

Urox Cup (S,M,L,XL) 1011-1014 1 2950o Urox Gaiter (S,M,L,XL) 2011-2014 1 1500

Urox Fixation Pants (S,M,L,XL) 3011-3014 1 1250

DBT Medical Ltd Thames urinal with standard bag and connecting tube

LM751100 1 8999

Thames urinal with long bag and connecting tube

LM751102 1 8998

Severn urinal with standard bag and connecting tube

LM752120 1 8999

Severn urinal with 5 plastic bags and connecting tube

LM752124 1 8999

Mersey urinal with 5 plastic bags and connecting tube

LM753224 1 8999

'55' male urinal LM756200 1 8863Spare sheaths for' 55' urinal LM756212 6 4019

Stoke Mandeville PatternMale urinal

20mm sheath LM754001 1 899924mm sheath LM754002 1 899925mm sheath LM754003 1 899928mm sheath LM754004 1 899932mm sheath LM754005 1 899935mm sheath LM754006 1 899938mm sheath LM754007 1 899942mm sheath LM754008 1 899945mm sheath LM754009 1 899948mm sheath LM754010 1 899951mm sheath LM754011 1 899954mm sheath LM754012 1 899957mm sheath LM754013 1 899960mm sheath LM754014 1 899963mm sheath LM754015 1 8999

Spare sheaths on request 1 768Sahara one-piece top PP urinal

with small rubber collection bagPaed LM755109 1 8578

with 5 small plastic collection bagsPaed LM755110 1 8578

with standard collection bag and connection tube

Standard LM755120 1 8578with long collection bag and connection tube

Standard LM755130 1 8578with five medium collection bags and connection tube

Standard LM755140 1 8578with standard rubber bag and connection tube

Large LM755150 1 8578with long rubber bag and connection tube

Large LM755160 1 8578with five medium plastic bags and connection tube

Large LM755170 1 8578

595

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Urinal Systems

Manufacturer Appliance Order No. Quantity List Price p

DBT Medical Ltd Peoplecare PP Male urinal:PP flange 25mm child

Sheath size13mm LM844113 1 278616mm LM844116 1 278619mm LM844119 1 2786

PP flange 29mm childSheath size

22mm LM845122 1 278625mm LM845125 1 2786

PP flange 32mm childSheath size

19mm LM845219 1 278622mm LM845222 1 278625mm LM845225 1 2738

PP flange 38mm adultSheath size

19mm LM846319 1 278622mm LM846322 1 278625mm LM846325 1 278629mm LM846329 1 278632mm LM846332 1 2786

PP flange 44mm adultSheath size

35mm LM847435 1 278638mm LM847438 1 278641mm LM847441 1 2786

PP Standard bagMedium LM881002 1 1438Large LM881003 1 1782

PP Curved TopSmall LM874101 1 1085Meduim LM874102 1 1085Large LM874103 1 1085

PP Straight TopSmall LM875211 1 1085Meduim LM875212 1 1085Large LM875213 1 1085Ex-large LM875214 1 1085

o Transverse rubber bag with tap for above urinal

LM881001 1 2944

Double based PP Flange for above urinal LM846350 1 2786Rubber pubic flange, adult, for above urinal LM854229 1 3212

Ellis, Son & Paramore Ltd

Hallam Modular Urinals NS200 1 3100o Spare bag NS200(a) 1 165

Spare belt NS200(b) 1 368

Hollister Ltd o Retracted Penis Pouch 9811 10 3020o Retracted Penis Pouch with Flextend Skin

Barrier9873 10 2968

596

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

iMEDicare Ltd Afex Active S, M, L, XL, 2X, 3X A100-S-08 -A100-3X-08

1 5793

Afex Core (Supporter)

XS, S, M, L, XL, 2X, 3X A100XS-5105-C - A1003X-

5105-C

1 5733

The above kits contain a combination of the following components:Core Supporter Brief

Extra Small A200CS-XS 1 907Small A200CS-S 1 907Medium A200CS-M 1 907Large A200CS-L 1 907XL A200CS-XL 1 9072X A200CS-2X 1 9073X A200CS-3X 1 907

Afex Mobility Assisted

S, M, L, XL, 2X, 3X A120-S-08 -A120-3X-08

1 7756

Afex Sedentary S, M, L, XL, 2X, 3X A110-S-08 -A110-3X-08

1 5793

The above kits contain a combination of the following components:Brief Extra Small A200-XS-08 1 916

Small A200-S-08 1 916Medium A200-M-08 1 916Large A200-L-08 1 916XL A200-XL-08 1 9162X A200-2X-08 1 9163X A200-3X-08 1 916

Low Receptacle A300-L-08 1 3087Low Supersoft Receptacle A300-S-08 1 3087High Receptacle A300-F-08 1 3087Urine Collection Bag

o 250ml A400S 1 1775o 500ml A400-B-08 1 1790o 500ml (vented) A400-V-08 1 1790o 1200ml A400-L-08 1 1955o 1500ml A400-E-08 1 1955o 2000ml A400-X-08 1 1955

Tube Assembly Complete A700-A-08 1 1131Tube Stabilizer A700-S-07 1 411Collection Bag Stabilizer (high grip) A710-S-09 1 411Leg Bag Holder Black A800-B-07 1 1337

White A800-W-07 1 1337

Afex Noctura Bed Bag Configuration Supplemental KitA140-N 1 1300

Afex Noctura Leg Bag Configuration Supplemental KitA130-N 1 1099

597

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-MedLtd

Rubber leg bag connecting tube with female attachment for urinal785776 1 349

Male urinals - all fitted with tapsDay and night use urinal with diaphragm,Scrotal support and bag. STATE SIZE OF DIAPHRAGM

Fig 4A 1 6472

Urinal with waistband, Scrotal support complete with inner sheath and bag

Fig 5 1 7876

Adult male urinal with pressure ring,diaphragm, rubber understraps.STATE SIZE OF DIAPHRAGM

Fig 101 1 7003

Day and night urinal with pressurering, inner sheath, waistbandand understraps.STATE SIZE OF SHEATH

Fig 104 1 7687

Day and night urinal with sheath,waistbelt, understraps andplastic bag

Fig 105 1 7456

Urinal with inner sheath, rubberunderstraps and plastic bag.STATE SIZE OF SHEATH

Fig 106 1 6909

Day and night urinal, scrotal supportand plastic bag

Fig 107 1 6640

Day and night urinal to contain penis and scrotum, fitted with inner sheath and diaphragm complete with bag

Fig 111A 1 6504

Male jockey appliance with bag.STATE WAIST SIZE

M200 1 6925

Replacement belt for above.STATE WAIST SIZE

JB/200 1 1360

o Plastic bags OLBWT(L) 5 1745o Rubber bag RB/M200 1 2908

Stoke Mandeville replacementsheath (state size of sheath)

SMS 1 726

Male PP urinal with 5 plasticbags (state size of sheath)

PP2 1 7399

Spare parts for PP Urinals:Flange with sheaths, state size PP3 1 3674

Cone - small straight PP4 1 1457Cone - small curved PP5 1 1457Cone - medium straight PP6 1 1457Cone - medium curved PP7 1 1457Cone - large straight PP8 1 1457Cone - large curved PP9 1 1457Cone - ex-large straight PP10 1 1457

598

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-MedLtd

o Plastic bag small OLBWT(S) 5 1745

o Plastic bag large OLBWT(L) 5 1745o Rubber bag with air vent for use with all

Jade-Euro-Med urinalsPP13 1 2851

Progress long life plastic urinal bags pk 10

M700 1 3106

Progress long life plastic scrotal urinal bagspk 10

M800 1 3106

Fridjohn urinal M600 1 9286

1-piece belt, incorporating double based flange and bag

KM28 1 6296

1-piece belt, with flange and 5 plastic bags KM29 1 6296

Male PP urinal, child, with integral flange Plastic bag:

Curved coneMedium WR013-01-R 1 7583

Replacement PP flange with integral sheath for child pp urinals:

Sheath 22mm Flange 25mm WS025-22-L 1 4269Sheath 25mm Flange 32mm WS032-25-K 1 4269

Replacement curved rubber cone top for above urinalsSmall WS130-01-S 1 1805Medium WS130-03-W 1 1805Large WS130-05-B 1 1805

Replacement straight rubber cone top for above urinalsMedium WS135-03-T 1 1805Large WS135-05-X 1 1805Ex-large WS135-07-C 1 1805

Replacement double-based PP flangechild 32mm opening WS160-32-V 1 3816adult 38mm opening WS160-38-J 1 3816adult 44mm opening WS160-44-D 1 3816

Chailey male urinal, adolescent/adult withrubber bag WP100-01-P 1 7156plastic bag WP105-01-L 1 9065

599

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Jade-Euro-Med Ltd

Spares for Chailey urinals 1 piece curved top with integral sheath andunder-straps

child 22mm sheath WS200-22-R 1 4775adult 22mm sheath WS202-22-A 1 4775adult 25mm sheath WS202-25-G 1 4775adult 29mm sheath WS202-29-Q 1 4775adult 32mm sheath WS202-32-D 1 4775adult 35mm sheath WS202-35-K 1 4775adult 38mm sheath WS202-38-R 1 4775adult 44mm sheath WS202-44-L 1 4775

- rubber belt61cm WS101-61-A 1 70466cm WS101-91-26 1 70471cm WS101-91-28 1 70476cm WS101-91-30 1 70481cm WS101-91-32 1 70486cm WS101-91-34 1 70491cm WS101-91-36 1 70497cm WS101-91-38 1 704

102cm WS101-91-40 1 704107cm WS101-91-42 1 704112cm WS101-91-44 1 704117cm WS101-91-46 1 704

o - rubber bags (suitable also for PP and Chiron urinals)

WS110-01-G 1 2271o WS110-05-Q 1 3112

- plastic bags (suitable also for PP urinals & Chiron urinals)o wide neck WS120-10-N 1 469o adult WS120-05-V 1 469o child WS120-01-M 1 469

Male PP urinal, adult, with integral flangerubber bag - various sizes WP001-01-M 1 8861

WP003-01-V 1 8861WP005-01-E 1 8861

plastic bag - various sizes WP011-01-S 1 8374WP013-01-B 1 8374WP015-01-K 1 8374

Replacement PP flange for above 19mm WS038-19-R 1 426922mm WS038-22-E 1 426925mm WS038-25-L 1 426929mm WS038-29-U 1 426932mm WS038-32-H 1 426935mm WS038-35-P 1 426938mm WS038-38-V 1 426941mm WS038-41-J 1 4269

Male PP urinal, adult, with double-based flange- rubber bag WP031-01-D 1 8987- plastic bag - various sizes WP035-01-V 1 8374

WP041-01-J 1 8374

Manufacturer Appliance Order No. Quantity List Price p

600

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

Urinal Systems

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-Med Ltd

Rubber bag with vent tube for PP urinalso adult WS140-05-G 1 3725

o Rubber double bag, adult,for PP urinals

WS140-08-N 1 3989

Stoke Mandeville sheath type urinal WP110-01-U 1 8187Stoke Mandeville doublerubber bag urinal

WP113-01-H 1 10640

Replacement sheaths WS160-02-L 10 491o Replacement bag for WP113 WS140-07-L 1 3989

Replacement sheath for WP11322mm WS162-22-B 1 111625mm WS162-25-H 1 111629mm WS162-29-R 1 111632mm WS162-32-E 1 1116

Chiron male rubber urinal with webbing belt

WP124-01-S 1 7368

* Surrey model L/weight urinalL- MK I 25mm WP130-25-V 1 6664

38mm WP130-38-F 1 6664L - MK II 25mm WP133-25-J 1 6664

32mm WP133-32-F 1 666438mm WP133-38-T 1 6664

* Replacement bags for the Surrey Urinal can be found on page 864Chiron male plastic urinal

(rubber sheaths) WP145-01-H 1 3813Chiron geriatric urinal

(film type sheaths) WP148-01-V 1 5537

Replacement sheaths for WP145 & WP15125mm WS168-25-J 1 70429mm WS168-29-S 1 704

Replacement net suspensoryfor WP107, WP129 & WP145

WS107-08-W 1 1656

o Transverse rubber bag &stopcock (child)

WS145-01-U 1 4209

Manfred Sauer UK Ltd

URIbag pocket sized (when not in use)reusable urinal for men & urinary/ostomyappliance users, 1.1 Litre capacity

URIbag 1 1457

URIbag F pocket sized (when not in use) reusable urinal forfemales, 1.2 Litre capacity

URIbagF 1 1457

601

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

S G & P Payne Male Incontinence Appliance with rubber beltMK 1 - with combined rubber flange &

understraps0001 1 7705

MK 2 - with rubber flange & fabric facepiece

0002 1 8285

MK 3 - with combined rubber flange understraps and coned top

0003 1 6838

Lightweight male Incontinence ApplianceMK 4 - with fabric facepiece & separate

long flanged plastic bag with foam pad

0004 1 4885

MK 5 - with fabric facepiece separate flange & long flanged plastic bag with material facepiece and belt

0005 1 6862

MK 6 - with combined flange & understraps& long flanged plastic bag & rubber belt

0006 1 6017

MK 7 - with flange material flange support reinforced coned top and plastic or rubber bag

0007 1 8634

MK 8 - with flange material flange support long plastic bag

0008 1 7212

MK 9 - with rubber flange & wide belt with scrotal support

0009 1 8634

MK 10 - with flange support with wide belt & scrotal support separate flange & long flanged plastic bag

0010 1 7211

MK 11 - with flange soft replaceable diaphragm material facepiece with belt and adjustable rubber understraps soft coned top plastic or rubber bag

0011 1 8634

MK 12 - with flange soft replaceable diaphragm material facepiece with belt and adjustable rubber understraps long plastic bag

0012 1 7212

Replacements for above appliancesRubber flange with - feathered diaphragm (MK2,MK5,MK9,MK10)

Medium 32mm 0511 1 2232Large 38mm 0512 1 2232Ex-large 45mm 0513 1 2232and understrap (MK1,MK6)Small 25mm 0501 1 3454Medium 32mm 0502 1 3454Large 38mm 0503 1 3454Ex-large 45mm 0504 1 3454Feathered diaphragm &combined reinforced top

0560 1 3918

602

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

S G & P Payne Rubber flange 38mm (MK11 MK12) 0516 1 2232Rubber flange 45mm (MK11,MK12)

0517 1 2232

Soft replaceable rubber diaphragms (MK11, MK12)

0519 3 556

Material facepiece with belt & loop (MK2,MK4,MK5)

0430 1 2587

Reinforced cone top (MK1,MK2,MK9)Small - to fit 25mm flange 0601 1 1501Medium - to fit any size flange 0602 1 1501Large - to fit any size flange 0603 1 1501

Soft coned top (MK11) 0619 1 1501

o Plastic bag (MK1,MK2,MK3,MK7,MK9,MK11)

0801 5 1884

o Rubber bag (MK1,MK2,MK3,MK7,MK9,MK11)

0901 1 2271

Rubber belt (MK1, MK3, MK6) 0101 1 486o Rubber belt (MK1, MK3, MK6) Extra Large 0102 1 974

Elastic belt (MK1,MK3,MK6)Waist size 70cm 0201 1 1030Waist size 75cm 0202 1 1030Waist size 80cm 0203 1 1030Waist size 85cm 0204 1 1030Waist size 90cm 0205 1 1030Waist size 95cm 0206 1 1030

Web belt (MK1,MK3,MK6) 0301 1 720

Flange support with wide belt & scrotal support (MK9,MK10)Small - Waist size 70/80cm 0420 1 2935Medium - Waist size 80/90cm 0421 1 2935Large - Waist size 90/100cm 0422 1 2935

Material flange support (MK7, MK8)70cm 0401 1 293575cm 0402 1 293580cm 0403 1 293585cm 0404 1 293590cm 0405 1 293595cm 0406 1 2935100cm 0407 1 2935105cm 0408 1 2935110cm 0409 1 2935

Manufacturer Appliance Order No. Quantity List Price p

603

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pS G & P Payne Night connector

(MK1,MK2,MK3,MK7,MK9,MK11)0701 1 486

Long flanged plastic bag (MK5,MK6,MK8,MK10,MK12)

o 38mm - to fit 32/38mm flange 0811 5 2551o 45mm - to fit 45mm flange 0812 5 2551

with foam pad (MK4)o 38mm - to fit 32/38mm

flange0821 1 579

o 45mm - to fit 45mmflange

0822 1 579

Material facepiece with belt and adjustable rubber understraps (MK11, MK12)

Small 0414 1 2935Medium 0415 1 2935Large 0416 1 2935

Material facepiece with support belt, loopand scrotal (MK2,MK4,MK5)

0441 1 2935

Incontiaid Reuseable Urinal Bottle 1350 1 945Payne's Male Urine Director 0630 1 2757Payne’s Female Urine Director 0631 1 2758PP Urinal Complete with rubber bag/plastic bag

0019 1 7705

Pubic Pressure Flange25mm with -

13mm sheath 0520 1 345417mm sheath 0521 1 345419mm sheath 0522 1 345422mm sheath 0523 1 3454

32mm with22mm sheath 0524 1 345425mm sheath 0525 1 3454

38mm with29mm sheath 0526 1 345432mm sheath 0527 1 3454

45mm with35mm sheath 0528 1 345438mm sheath 0529 1 345442mm sheath 0530 1 3454

Coned TopStraight

Small for 25mm flange 0620 1 1501Medium for any size flange 0621 1 1501Large for any size flange 0622 1 1501

CurvedSmall for 25mm flange 0623 1 1501Medium for any size flange 0624 1 1501Large for any size flange 0625 1 1501

604

11/2019 Part IXBINCONTINENCE APPLIANCES

URINAL SYSTEMS

S G & P Payne o Rubber bag with vent tube(MK1,MK2,MK3,MK7,MK9,MK11)

0910 1 2725

Reinforced cone top with vent tubeSmall 0610 1 1975Medium 0611 1 1975Large 0612 1 1975

Stoke Mandeville condom urinal complete 0020 1 6359

Spares for above:o Kipper bags 0920 1 3577

Rubber tube & connector 0712 1 278

Rubber tubing 1m length8mm Latex 1203 1 1281

Red 1204 1 128110mm Latex 1205 1 1281

Red 1206 1 1281

Dry incontinence sheathsplain end 1101 100 1850teated end 1106 100 1819

Nylon connectorsGU 0711 1 162SM 0710 1 162

GU Pattern Stoke Mandeville Condom Set 0021 1 6630As above with 1136ml bag 0022 1 8225Replacement parts for above urinals

Kipper bags - see Leg BagsNylon studs - GU 0711 1 162 - SM 0710 1 162Nylon stud with latex tube 0712 1 278

Adjustable web beltWaist size up to 95cm 0304 1 759Waist size up to 115cm 0305 1 759Waist size up to 150cm 0306 1 759

Male urinal with long narrow bag, web beltand cotton suspensory bag

IU/365 1 6492

Male urinal for day use, the receiver tocontain the penis and scrotum, web waistband and tape understraps

IU/11 1 5957

Male urinal for night use, similar to IU/11 butthe receiver designed for use in bed

IU/12 1 5957

Male urinal for day and night use, shortrubber bag, detachable bag and night tube,web belt and cotton suspensory bag

IU/43 1 4966

o Replacement suspension bag - small,medium & large

IU/1458 1 627

RubiconHealthcare

Uriwell 80-3360934-134 1 1000

Manufacturer Appliance Order No. Quantity List Price p

605

Part IXB 11/2019INCONTINENCE APPLIANCES

URINAL SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Ward Surgical Appliance Co

Jockey Male Urinal Hewee Go System WM27 1 7314Day use, covered bag complete with belt suspensory and thigh strap

Fig 4 1 4671

Male urinal Day and night use with long bag and belt

Fig 105 1 5004

Paraplegic male urinal Fig 110 1 6839

Stoke Mandeville Pattern WM18 1 6571Male PP urinal plastic bag (4) WM21 1 5425Replacement for above

PP flange WM22 1 2809PP cone WM23 1 1110

o Rubber bag WM24 1 1521o Plastic bag WM26 1 304

Day and night use, long tube rubber bag with air vent, complete with belt and thigh strap

Fig 6 1 5333

o Male dribbling bag and tapes Fig 9 1 2170Day and night use, short covered bag Fig 101 1 5004Day and night use, short bag & belt Fig 106 1 5004Male urinal - sheath and suspensory with short covered bag

WM56 1 5457

Male urinal - sheath and suspensory with long covered bag

WM57 1 5457

Night urinal with long tube WM59 1 2637Webbing Belt WM102 1 924Elastic leg strap WM103 10 528

606

11/2019 Part IXBINCONTINENCE APPLIANCES

MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS (INCONTINENCE APPLIANCES)

A1 Pharmaceuticals PLC, Unit 20 and 21 Easter Park, Beam Reach, Ferry Lane South, Rainham, Essex, RM13 9MP (01708 528900)

B. Braun Medical Ltd, Thorncliffe Park, Sheffield, S35 2PW (0114 225 9000)

Bard Ltd, Forest House, Brighton Road, Crawley, West Sussex, RH11 9BP (01293 527888)

Beambridge Medical, 46 Merrow Lane, Burpham, Guildford, Surrey, GU4 7LQ (01483 827696)

Bio Diagnostics, Upton Industrial Estate, Rectory Road, Upton-upon-Severn, Worcestershire, WR8 0LX (01684 592262)

Charles S Bullen (Stomacare) Ltd, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool,L3 4BH (0800 888 501)

C&G Medicare Ltd, WR King accountants, 44 Victoria Gardens, Neath, SA11 3BH (0871 2181233)

CliniMed Ltd, Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks, HP10 9QY (01628 850100)

CliniSupplies Ltd, Qualitas House, 100 Elmgrove Road, Harrow, Middlesex, HA1 2RW (0208 8634168)

Coloplast Ltd, Peterborough Business Park, Peterborough, PE2 6FX (01733 392000)

ConvaTec Ltd, GDC First Avenue, Deeside Industrial Park, Deeside, Flintshire, CH5 2NU (01244 584000)

Covidien UK Commercial Ltd, 154 Fareham Road, Gosport, Hampshire, PO13 0AS (01329 224000)

Dansac Ltd, James Hall, St Ives Business Park, Parsons Green, St Ives, Cambridgeshire, PE27 4AA (01480 484300)

DBT Medical Ltd, 14 Eagle Industrial Estate, The Crofts, Witney, OX28 4DJ (01993 773673)

Ellis, Son & Paramore Ltd, Spring Street Works, Sheffield, S3 8PD (0114 2738921/221269)

Flexicare Medical Ltd, Cynon Valley Business Park, Mountain Ash, Mid-Glamorgan, CF45 4ER (01443 474647)

Forte Medical Ltd, 21 Bloomsbury Square, London, WC1A 2NS (020 3930 9750)

GF Products, 3 Newnham Lane, Burwell, Cambridgeshire, CB5 0EA

GP Supplies Ltd, Unit 1 behind AMC House, 12 Cumberland Avenue, Park Royal, London, NW10 7QL(0845 458 4040)

Great Bear Healthcare Ltd, Cardiff Business Park, Cardiff, CF14 5GF (029 2074 7770)

GTA (UK) Ltd, 34 Nottingham South Industrial Estate, Ruddington Lane, Wilford, Nottingham, NG11 7EP(0115 9815703)

Hollister Ltd, Rectory Court, 42 Broad Street, Wokingham, Berkshire, RG40 1AB (0118 989 5000) (Retail Pharmacy Order Line 0800 521392)

Hospital Management & Supplies Ltd, Salthouse Road, Brackmills, Northampton, NN4 OU4 (01604 704600)

Hunter Urology Ltd, Unit 1 Skyways Business Park, Exeter Airport Industrial Estate, Exeter, Devon, EX5 2UL(01392 340169)

iMEDicare Ltd, Unit 11, Shakespeare Industrial Estate, Shakespeare Street, Watford, WD24 5RR (01923 237795)

Jade-Euro-Med Ltd, Unit 14, East Hanningfield Industrial Estate, Old Church Road, East Hanningfield,Chelmsford, Essex, CM3 8BG (01245 400413)

JBOL Ltd, 1 Folly Bridge, Oxford, OX1 4LB (01865 240572)

JLJ Healthcare Ltd, Number One 61 Whitehall Road, Halesowen, West Midlands, B63 3JS (0121 6023943)

607

Part IXB 11/2019INCONTINENCE APPLIANCES

MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS (INCONTINENCE APPLI-ANCES)

LINC Medical Systems Ltd (formerly L.IN.C Medical Systems Ltd), 7 Kingsley Street, Leicester, LE2 6DY (01572717515)

MacGregor Healthcare Ltd, Unit 2A, Euro House, Satellite Park, Macmerry, East Lothian, EH33 1RW (08455192040)

Malvern Medical Developments Ltd, Unit 10, Northbrook Close, Worcester, WR3 8BP (01905 731343)

Manfred Sauer UK Ltd, Unit 3 io Centre, Lodge Farm, Northampton, NN5 7UW (01604 588090)

Medasil (Surgical) Ltd, Medasil House, Hunslet Road, Leeds, LS10 1AU (0113 2433491)

Mediplus Ltd, Unit 7 The Gateway Centre, Coronation Road, Cressex Business Park, High Wycombe,Buckinghamshire, HP12 3SU (01494 551200)

Mediwatch UK Ltd, Swift House, Cosford Lane, Rugby, CV21 1QN (01788 547888)

Neomedic Ltd: distributed by GP Supplies Ltd

Optimum Medical Solutions, 47 Park Square East, Leeds, LS1 2NL (08456 435479)

S G & P Payne, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool, L3 4BH (0800 888 501)

Peak Medical Ltd, Unit 4 Manor Farm Barns, Cornbury Park, Finstock, Oxfordshire, OX7 3DG (01608 811690)

Pelican Healthcare Ltd, Cardiff Business Park, Cardiff, CF14 5WF (02920 747000)

Pennine Healthcare Ltd, City Gate, London Road, Derby, DE24 8WY (01332 794880)

Pioneer Medical Europe Ltd, 28 Green Sward Lane, Redditch, Worcestershire, B98 0EN(0845 3035868)

ProSys International Ltd, Suite 303, Highland House, 165 The Broadway, Wimbledon, SW19 1NE (0208 9447585)

Renew Medical Ltd, 850 Oxford Road, Reading, RG30 1EL (0118 9420895)

Richardson Healthcare Ltd, Devonshire House, Manor Way, Borehamwood, Hertfordshire, WD6 1QQ (0800 1701126)

Rochester Medical Ltd, 10 Commerce Way, Lancing, West Sussex, BN15 8TA (01903 875055)

Rubicon Healthcare, 35 Matson Lodge, Drogheda, Co. Louth, Ireland, (00353 41 9837258)

Salts Healthcare Ltd, Richard Street, Aston, Birmingham, B7 4AA (0121 3332000)

Shewee Ltd, 18 Walton Street, Walton on the Hill, Surrey, KT20 7RT (0844 8008270)

SurgiSense Ltd, 4 West Street, Oundle, Peterborough, PE8 4EF (01832 274187)

Teleflex, Grosvenor House, Horseshoe Crescent, Old Town Beaconsfield, Buckinghamshire, HP9 1LJ (01494 532761)

U-drain Ltd, 6 Barry Rise, Bowdon, Cheshire, WA14 3JS (0161 9411969)

Unomedical Ltd (A ConvaTec Company), GDC Building, First Avenue, Deeside Industrial Park, Deeside,Flintshire, CH5 2NU (01244 584333)

Vesica Urology Ltd, PO Box 4145, Slough, Berkshire, SL1 0QA (01753 445087)

Ward Surgical Appliance Company Ltd, 57A Brightwell Avenue, Westcliffe-on-Sea, Essex, SS0 9EB (01702 354064)

Wellspect HealthCare, Stroud Water Business Park, Brunel Way, Stonehouse, Gloucester, GL10 3SW (01453 791763)

WyMedical Ltd, 7 Rookery Road, Wyboston, Bedfordshire, MK44 3AX (01480 211505)

608

11/2019 Part IXCSTOMA APPLIANCES

Part IXC - Stoma Appliances

STOMA APPLIANCES(Colostomy, Ileostomy, Urostomy)

1. Prescribers and suppliers should note that products not included in the list are not prescribable (See Part I Clause 2).

2. Where the information is available, the "Reference Capacity" of a stoma bag will be given. This isintended to give a guide of comparison between different bag sizes, but should not be taken to indicateactual usable capacity. "Reference Capacity" shall be measured according to BS 7127:Part 101:1991,Appendix M, with the level of water set at the lower edge of the opening of wafer or flange.

3. Only basic information has been provided and prescribers may on occasions wish to seek furtherinformation about certain products eg when assessing a patient for the first time. If so this is alwaysavailable from the manufacturers (addresses and telephone numbers are given at the end of the entry).Information may also be sought from stoma nurses and community pharmacists.

4. Where the prescriber has not specified the type of appliance or part thereof or accessory, the pharmacyor appliance contractor must endorse the prescription form stating the type supplied and submit theinvoice if requested by the NHSBSA, NHS Prescription Services.

All products in IXC receive a home delivery fee of 340p.

All products with convexity should only be used after prior assessment of suitability by an appropriate medicalprofessional.

List of components and accessories Page

Adhesive Discs/Rings/Pads/Plasters 609

Adhesives (Pastes, sprays, solutions) 611

Adhesive Removers (Sprays, Liquids, Wipes) 612

Bag Closures 614

Bag Covers 615

Belts 618

Colostomy Bags - see also Two Piece Ostomy Systems 664

Colostomy Sets 718

Deodorants 719

Discharge Solidifying Agents 721

Filters/Bridges 721

Flanges 722

Ileostomy (Drainable) Bags - see also Two Piece Ostomy Systems 725

Ileostomy Sets 787

Irrigation/Wash-Out Appliances 788

Pressure Plates/Shield 789

Skin Fillers and Protectives (Barrier creams, pastes, aerosols, lotions, gels, wipes) 791

Skin Protectors (Wafers, blankets, foam pads, washers) 796

Stoma Caps/Dressings 801

Tubing and Accessories 803

Two Piece Ostomy Systems 804

Urostomy Bags - see also Two Piece Ostomy Systems 853

Manufacturers’ Addresses and Telephone Numbers 879

609

11/2019 Part IXCSTOMA APPLIANCES

ADHESIVE DISCS/RINGS/PADS/PLASTERS

Manufacturer Appliance Order No. Quantity List Price pFor a list of adhesive tapes prescribable under Drug Tariff see Part IXAC S Bullen Ltd Double-sided Adhesive

Plaster Zinc Oxide 89mm x 89mm UF 33 10 435 102mm x 102mm UF 34 10 536 127mm x 127mm UF 35 10 905

Double Sided AdhesivePlastic Acrylic Base

89mm x 89mm UF 62 10 390 102mm x 102mm UF 63 10 500 127mm x 127mm UF 64 10 842

Flange Retention Strips 102mm x 25mm UF 440 100 400 102mm x 51mm UF 441 100 542

Shelter Safe-Seal UF7000 40 2260

CliniMed Ltd HydroFrame flange extenders WAF H33 20 (strips) 1374HydroFrame mini flange extenders WAF M33 30 (strips) 1045HydroFrame flange extenders with Manuka honey

MHWAF H33 20 (strips) 1369

HydroFrame mini flange extenders with Manuka honey

MHWAF M33 30 (strips) 1046

UltraFrame flange extenders UFWAFH33 20 (strips) 1370

CliniSupplies Ltd ZenSetiv Half Moon StripsHydrocolloid A2015 20 1100Microporous A2016 20 1100

Coloplast Ltd Brava Elastic Tape 12070 20 1342Brava Elastic Tape Belt 12072 20 1361Brava Elastic Tape Straight 12074 20 1334Brava Elastic Tape XL 12076 20 1520

Dansac Ltd Dansac X-tra Strips Barrier Extenders 075-30 30 1921

Jade-Euro-Med Ltd Kidney Seals - Adhesive Flange Retaining StripsSmall WJ250-51-T 10 611Large WJ250-75-J 10 611

Double Sided - Adhesive Discs76mm diam -

19mm opening WJ002-19-R 10 57625mm opening WJ002-25-L 10 576

90mm diam -32mm opening WJ005-32-V 10 57638mm opening WJ005-38-J 10 576

Chiron Double-Sided Plasters90mm square -

19mm opening WJ010-19-N 10 78235mm opening WJ010-35-L 10 782

102mm square - 19mm opening WJ011-19-S 10 89835mm opening WJ011-35-Q 10 898

127mm square -19mm opening WJ012-19-W 10 99035mm opening WJ012-35-U 10 990

150mm square -19mm opening WJ013-19-B 10 1106

102mm x 76mm -19mm opening WJ014-19-F 10 1106

102mm square -25mm opening WJ016-25-J 10 1106

125mm square -25mm opening WJ018-01-C 10 1214

610

11/2019 Part IXCSTOMA APPLIANCES

ADHESIVE DISCS/RINGS/PADS/PLASTERS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Curvies flange extenders CUR001 30 1916

Peak Medical Ltd Varimate Extra Thin Hydrocolloid Curved Retention Strips

VMT CURVE 60 2437

Varimate Retention Strips VMT 0311 60 3961

Pelican Healthcare Ltd

Pelican Contour Flange Extender 130860 30 2049

ProSys International Ltd

AcuBond Strips SB2 30 1853

Respond Healthcare Ltd

OstoMart Astoa Adhesive Flange ExtenderSmall AFES30 30 1215Large AFEL30 30 1944Wide AFEW30 30 1711

Secure Small Security Frame (formerly OstoMart OstoFix Eighty Security Frames)DFW80 80 1991

Secure Large Security Frame (formerly OstoMart OstoFix Forty Security Frames)DFW3 40 2026

Salts Healthcare Transacryl Double Sided Plaster25mm 833018 10 70132mm 833019 10 70138mm 833020 10 701

Salts Flange ExtenderSPH1 30 1248

Salts Flange Extender with AloeSPHA2 30 1352

SecuPlast Circular Plasters32mm SP32 10 119038mm SP38 10 119045mm SP45 10 119057mm SP57 10 119070mm SP70 10 1170

T J Shannon Ltd Easychange spare plasters with rings 5 642

Trio Healthcare Ltd Silex Silicone Flange Extender TR1060 20 1301

Ward Surgical Appliance Co

Double-Sided Plasters with opening WM17 10 454Single-Sided Waterproof Plaster Strips

100mm x 25mm WM17a 10 124100mm x 50mm WM17b 10 187

Welland Medical Ltd See CliniMed Ltd

611

11/2019 Part IXCSTOMA APPLIANCES

ADHESIVE PASTES, SPRAYS, SOLUTIONS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Medical Adhesive Aerosol 7730 112ml (90g) 1750

Manfred Sauer UK Ltd

* Original Skin Latex Adhesive in a 28g tubewith a long pipette/nozzle applicator.

50.01 2 957

* Pure Latex Skin Adhesive without any skincare components giving a stronger bond, in a28g tube with a long pipette/nozzle applicator.

50.00 2 941

* Lanolin Free Latex Skin Adhesive for peopleallergic to lanolin, in a 28g tube with a longpipette/nozzle applicator.

50.03 2 941

* 50% reduction in skin care components, in a28g tube with a long pipette/nozzle applicator.

50.05 2 941

* 2% Resin giving a stronger bond than theoriginal adhesive 50.01, in a 28g tube with along pipette/nozzle applicator. Should onlybe tried after 50.01 is found to be too weak.

50.20 2 941

* 12% Resin giving a stronger bond than the2% resin adhesive 50.20, in a 28g tube with along pipette/nozzle applicator. Should onlybe tried after 50.20 is found to be too weak.

50.22 2 941

* Synthetic Skin Adhesive in a 28g tube with along pipette/nozzle applicator.

50.36-2 2 1679

* Synthetic Skin Adhesive in a 45ml bottle withbrush in the lid

50.36 1 1679

Prosthetic SolutionsLtd

Zeflosil Silicone Adhesive 0001-11 30ml 1495

Salts Healthcare Latex Adhesive Solution 833005 28ml 245

* Safe for direct application on the skin

612

11/2019 Part IXCSTOMA APPLIANCES

ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES)

Manufacturer Appliance Order No. Quantity List Price p

C D Medical Ltd Peel-Easy 300714 50ml spray 718Peel-Easy No Sting 300715 30 wipes 1166

CliniMed Ltd Appeel Advance No Sting Medical Adhesive Remover

3501 50ml aerosol 960

Appeel Hydrosolve Flushable Medical Adhesive Remover Wipes

3506 30 wipes 1592

Appeel No Sting Medical Adhesive Remover

3505 30 wipes 15963500 50ml aerosol 962

CliniPeel No Sting Medical Adhesive Remover

4501 50ml aerosol 550

CliniSupplies Ltd ZenSetiv Adhesive Remover Spray ZSA2011 50ml spray 590

Coloplast Ltd Brava Adhesive remover spray 12010 50ml spray 933Brava Adhesive remover wipe 12011 30 wipes 1547Comfeel Cleanser 4710 180ml bottle 1827

4715 30 sachets 943

ConvaTec Ltd ConvaCare Adhesive Remover Wipes S208 100 wipes 1881ConvaTec Niltac Sting Free Medical Adhesive Remover

TR101 50ml aerosol 904TR102 30 wipes 1499

Sensi-Care Sting Free Adhesive Releaser Spray

420798 150mlaerosol

2603

Dansac Ltd Dansac EasiSpray adhesive remover 083-01 50ml spray 675

Dansac Non Sting adhesive remover 082-01 50ml spray 966082-30 30 sachets 1565

R Dansac Skin Lotion Cleanser 70005-0001 50ml bottle 56270000-0000 200ml bottle 1831

R Dansac Skin Lotion Tissue 71000-0000 50 tissues 1568R Please note: For reimbursement purposes Dansac Skin Lotion Cleanser and Dansac Skin Lotion Tissue

should not be confused with the product Dansac Skin Lotion listed in Part XVIIIA - Drugs, medicines andother substances not to be ordered under a General Medical Services Contract.

Great Bear Healthcare Ltd

GB Soft Skin No Sting Medical Adhesive Remover

10380A 50ml aerosol 942

GB Soft Skin No Sting Medical AdhesiveRemover Wipes

10382C 30 wipes 1527

Hollister Ltd Adapt No-Sting Medical Adhesive Remover

7731 100ml (76g) 14937737 50ml spray 721

Universal Remover Wipes 7760 50 1418

MedicareplusInternational Ltd

Lifteez non sting medical adhesive remover (formerly Medi Lifteez non sting medical adhesive remover)

60833 50ml aerosol 56060321 30 wipes 850

Oakmed Ltd EasyLease No Sting Medical Adhesive Remover

1408 50ml spray 952

1206 30 wipes 1539

613

11/2019 Part IXCSTOMA APPLIANCES

ADHESIVE REMOVERS (SPRAYS, LIQUIDS, WIPES)

Opus Healthcare Lift medical Adhesive Remover 5500 30 sachets 9305501 100ml bottle 656

Lift Plus 360 Citrus Medical Adhesive Remover

5507 50ml spray 560

Lift Plus 360 Medical Adhesive Remover

5506 50ml spray 560

Lift Plus Citrus Medical Adhesive Remover

5504 30 sachets 15445505 50ml spray 907

Lift Plus Medical Adhesive Remover 5502 30 sachets 15445503 50ml spray 907

Peak Medical Ltd Offmate Stoma Adhesive Remover OM 50 50ml spray 510OM 30 30 wipes 906

Pelican Healthcare Pelican Platinum with Vitamin E Adhesive Remover Spray

130400E 50ml 699

Pelican Platinum with Vitamin E Adhesive Remover Wipes

130500E 30 sachets 1430

Pelican Release non-sting Adhesive Remover

130360 30 wipes 1619

130460 50ml aerosol 977

Prosthetic Solutions Ltd Zeflosil Cleaner and Remover 0001-09 100ml bottle 995

ProSys International Ltd Independence Adhesive Remover RS1 50ml aerosol 728Independence No Sting Adhesive Remover Wipes

ARW1 30 sachets 1556

Respond Healthcare Ltd Clear Adhesive Remover (formerly OstoMart OstoCLEAR)

MRW1 30 sachets 938MRW2 100ml bottle 1027

Remove Adhesive Remover Spray (formerly OstoMart OstoPEEL No Sting Medical Adhesive Remover Spray) Apple OPA50 50ml aerosol 673Blackberry OPB50 50ml aerosol 673Mint OPM50 50ml aerosol 673Neutral (formerly No Fragrance) OPN50 50ml aerosol 673

Remove Adhesive Remover Wipes (formerly OstoMart OstoPEEL Blackberry No Sting Medical Adhesive Remover Wipes)

OPBW30 30 wipes 1099

Rhodes Pharma Ltd StoCare Remove Medical Adhesive Remover Spray

STC 100 50ml spray 530

StoCare Remove Non Sting Medical Adhesive Remover Wipes

STC 200 30 wipes 850

Salts Healthcare Salts Adhesive Remover WA1 30 sachets 940Salts Adhesive Remover Spray WAP 50ml spray 674Salts Adhesive Remover Wipes WAP2 30 wipes 879

Trio Healthcare Ltd Elite Sting Free Adhesive Remover TR201 50ml spray 698TR202 30 wipes 1222

Manufacturer Appliance Order No. Quantity List Price p

614

11/2019 Part IXCSTOMA APPLIANCES

BAG CLOSURES(Available separately from the bags)

Manufacturer Appliance Order No. Quantity List Price p

C S Bullen Ltd Plastic Bag Clamp 400 10 663Soft Wire Ties 410 50 561

CliniMed Ltd Closure Clamps (Drainable Bags) 3750 1 127

Coloplast Ltd Coloplast Clamp 9503 20 2241

ConvaTec Ltd Clips (Beige) (1-pce pouch) S207 10 360Soft Wire Ties S205 50 624Curved Clip for Drainable Pouches S202 10 638

Dansac Ltd Opaque Soft Wire Ties 095-01 50 622Opaque Longer Soft Wire Ties 095-02 50 712

Hollister Ltd Drainable Pouch Clamp Beige 8770 10 1105

Peak Medical Ltd Curved Beige Clip for Drainable Pouches

CLS 10 10 598

Pelican Healthcare Ltd Drainable Pouch Clips 130406 20 761

Salts Healthcare Closure Clips 833044 5 234Drainable Pouch Clips CL1 10 817

615

11/2019 Part IXCSTOMA APPLIANCES

BAG COVERS

Note:These stoma bag covers can be washed and reused many times. Cloth fabric I types are more durable thanthose made of non-woven fabric J. Refer to the manufacturer's instructions.

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd I Suportx Ostomy Support with built in pouch cover and night drainageMens ShortsBlack

Small, Medium, Large, X Large,XX Large

AM11-AM15 1 1008

Bespoke size AM16 1 1008Dark Grey Marl

Small, Medium, Large, X Large,XX Large

AM21-AM25 1 1008

Bespoke size AM26 1 1008White

Small, Medium, Large, X Large,XX Large

AM01-AM05 1 1008

Bespoke size AM06 1 1008

Mens Fitted TrunksBlack

Small, Medium, Large, X Large,XX Large

AM61-AM65 1 1008

Bespoke size AM66 1 1008Dark Grey Marl

Small, Medium, Large, X Large,XX Large

AM71-AM75 1 1008

Bespoke size AM76 1 1008White

Small, Medium, Large, X Large,XX Large

AM51-AM55 1 1008

Bespoke size AM56 1 1008

BagBag Quality Ostomy Covers

I BagBag Ostomy Bag CoverSmall, Medium, Large 0001-0003 1 899

C S Bullen Ltd I Night Bag Cover UF57 1 901I Day Bag Cover UF58 1 901

Cover Care I Cover Care Pouch CoversMini 32/38mm pouches L198 3 78145/57mm pouches L199 3 781Large Urostomy pouches L200 3 826Standard Drainable pouches & urostomy pouches

L201 3 826

Small 38/45 mm closed pouches small drainable pouches, combihesive closed pouches

L203 3 826

Medium 57 & 70mm closed pouches L204 3 826

616

11/2019 Part IXCSTOMA APPLIANCES

BAG COVERS

Manufacturer Appliance Order No. Quantity List Price p

CUI International I Cuiwear Ostomy support trunks with in built pouch cover with night drainageMens

Denim LT16-LT30 1 1048Navy LT01-LT15 1 1048

I Cuiwear Ostomy Support Underwear with in built pouch coverLadies CF01-CF27 1 1048

CF31-CF57 1 1048Mens CW01-CW15 1 1048

CN01-CN15 1 1048I Cuiwear Urostomy bag support device with in built pouch cover and night drainage

LadiesFull BriefBlack

Sizes 8 -24 CF68 - CF76 1 991Bespoke CF77 1 1321

WhiteSizes 8 -24 CF58 - CF66 1 991Bespoke CF67 1 1321

ShortieBlack

Sizes 8 -24 BS68 - BS76 1 991Bespoke BS77 1 1321

WhiteSizes 8 -24 BS58 - BS66 1 991Bespoke BS67 1 1321

MensTrunksNavy

S, M, L, XL, XXL LT31 - LT35 1 991Bespoke LT36 1 1321

DenimS, M, L, XL, XXL LT37 - LT41 1 991Bespoke LT42 1 1321

BoxersNavy

S, M, L, XL, XXL CN31 - CN35 1 991Bespoke CN36 1 1321

WhiteS, M, L, XL, XXL CW31 - CW35 1 991Bespoke CW36 1 1321

I Cuiwear Urostomy Support Underwear with in built pouch cover with night drainageLadies

Black BS31-BS57 1 1048White BS01-BS27 1 1048

617

Part IXC 11/2019STOMA APPLIANCES

BAG COVERS

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-Med Ltd I Cotton Bag CoverDay Size WN124-01-C 1 1350Night Size WN125-04-N 1 1350

Respond Healthcare Ltd

I HiLINE CoverSURE Custom Made Pouch CoversAppliance to be stated

White Res C1 1 991Stone Res C2 1 991White/Lace Front Res C3 1 991

I HiLINE CoverSURE LIGHT Custom Made Pouch CoversBeige ResC7 3 2404Black ResC8 3 2404White ResC6 3 2404

I HiLINE CoverSURE PLUS Custom Made Pouch CoversBeige ResC5 3 2457White ResC4 3 2457

Vanilla Blush I Vanilla BlushBoxerWhite

Small - XXX Large VBSSW1-VBSSW6 3 2700Black

Small - XXX Large VBSSB1-VBSSB6 3 2700Navy

Small - XXX Large VBSSN1-VBSSN6 3 2700Mixed (1White, 1Black, 1Navy)

Small - XXX Large VBSSM1-VBSSM6 3 2700Ladies BriefWhite

Sizes 6-22 VBVW1-VBVW9 3 2700Black

Sizes 6-22 VBVB1-VBVB9 3 2700Navy

Sizes 6-22 VBVN1-VBVN9 3 2700Mixed (1 White, 1 Black, 1 Navy)

Sizes 6-22 VBVM1-VBVM9 3 2700

Ward Surgical Appliance Co

I White Linen Cover 15 1 652

618

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd Corsinel Suportx Easy Panel BeltWhite Small (78-90cm) CRL234W 1 8117

Medium (86-98cm) CRL235W 1 8117Large (94-106cm) CRL236W 1 8117X Large (102-116cm) CRL237W 1 81172X Large (112-130cm) CRL238W 1 81173X Large (126-148cm) CRL239W 1 8117

Corsinel Suportx Made to measure support garmentsFemale 160030-160040 1 8117

160070-160080 1 8117160110-160120 1 8117160150-160160 1 8117160190-160200 1 8117160230-160240 1 8117160270-160280 1 8117160310-160320 1 8117162030-162040 1 8117162070-162080 1 8117

Male 170010-170160 1 8117172010-172040 1 8117

Corsinel Suportx Ostomy and Hernia Support Tube15cmBlack X Small CRL453B 1 5804

Small CRL454B 1 5804Medium CRL455B 1 5804Large CRL456B 1 5804X Large CRL457B 1 5804

Skin X Small CRL453S 1 5804Small CRL454S 1 5804Medium CRL455S 1 5804Large CRL456S 1 5804X Large CRL457S 1 5804

White X Small CRL453W 1 5804Small CRL454W 1 5804Medium CRL455W 1 5804Large CRL456W 1 5804X Large CRL457W 1 5804

20cmBlack X Small CRL463B 1 5804

Small CRL464B 1 5804Medium CRL465B 1 5804Large CRL466B 1 5804X Large CRL467B 1 58042X Large CRL468B 1 58043X Large CRL469B 1 5804

619

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd Skin X Small CRL463S 1 5804Small CRL464S 1 5804Medium CRL465S 1 5804Large CRL466S 1 5804X Large CRL467S 1 58042X Large CRL468S 1 58043X Large CRL469S 1 5804

White X Small CRL463W 1 5804Small CRL464W 1 5804Medium CRL465W 1 5804Large CRL466W 1 5804X Large CRL467W 1 58042X Large CRL468W 1 58043X Large CRL469W 1 5804

26cmBlack Medium CRL475B 1 5804

Large CRL476B 1 5804X Large CRL477B 1 58042X Large CRL478B 1 58043X Large CRL479B 1 5804

Skin Medium CRL475S 1 5804Large CRL476S 1 5804X Large CRL477S 1 58042X Large CRL478S 1 58043X Large CRL479S 1 5804

White Medium CRL475W 1 5804Large CRL476W 1 5804X Large CRL477W 1 58042X Large CRL478W 1 58043X Large CRL479W 1 5804

Corsinel Suportx StomaSafe PlusWhite Small/Medium (80-110cm) SS0112 1 1830

Medium/Large (105-125cm) SS0113 1 1830Large/Extra Large (120-140cm) SS0114 1 1830

Black Small/Medium (80-110cm) SS0212 1 1830Medium/Large (105-125cm) SS0213 1 1830Large/Extra Large (120-140cm) SS0214 1 1830

Beige Small/Medium (80-110cm) SS0312 1 1830Medium/Large (105-125cm) SS0313 1 1830Large/Extra Large (120-140cm) SS0314 1 1830

620

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Suportx Hernia Support GirdlesFemale High WaistBlack Small SPX308B 1 7029

Medium SPX316B 1 7029Large SPX324B 1 7029X Large SPX332B 1 7029XX Large SPX340B 1 7029

Skin Small SPX308S 1 7029Medium SPX316S 1 7029Large SPX324S 1 7029X Large SPX332S 1 7029XX Large SPX340S 1 7029

White Small SPX308W 1 7029Medium SPX316W 1 7029Large SPX324W 1 7029X Large SPX332W 1 7029XX Large SPX340W 1 7029

Female High Waist with holeBlack Small SPX304B 1 7029

Medium SPX312B 1 7029Large SPX320B 1 7029X Large SPX328B 1 7029XX Large SPX336B 1 7029

Skin Small SPX304S 1 7029Medium SPX312S 1 7029Large SPX320S 1 7029X Large SPX328S 1 7029XX Large SPX336S 1 7029

White Small SPX304W 1 7029Medium SPX312W 1 7029Large SPX320W 1 7029X Large SPX328W 1 7029XX Large SPX336W 1 7029

Female High Waist with hole and velcro gussetBlack Small SPX303B 1 7029

Medium SPX311B 1 7029Large SPX319B 1 7029X Large SPX327B 1 7029XX Large SPX335B 1 7029

Skin Small SPX303S 1 7029Medium SPX311S 1 7029Large SPX319S 1 7029X Large SPX327S 1 7029XX Large SPX335S 1 7029

White Small SPX303W 1 7029Medium SPX311W 1 7029Large SPX319W 1 7029X Large SPX327W 1 7029XX Large SPX335W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

621

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd Female High Waist laceBlack Small SPX306B 1 7029

Medium SPX314B 1 7029Large SPX322B 1 7029X Large SPX330B 1 7029XX Large SPX338B 1 7029

Skin Small SPX306S 1 7029Medium SPX314S 1 7029Large SPX322S 1 7029X Large SPX330S 1 7029XX Large SPX338S 1 7029

White Small SPX306W 1 7029Medium SPX314W 1 7029Large SPX322W 1 7029X Large SPX330W 1 7029XX Large SPX338W 1 7029

Female High Waist lace with holeBlack Small SPX302B 1 7029

Medium SPX310B 1 7029Large SPX318B 1 7029X Large SPX326B 1 7029XX Large SPX334B 1 7029

Skin Small SPX302S 1 7029Medium SPX310S 1 7029Large SPX318S 1 7029X Large SPX326S 1 7029XX Large SPX334S 1 7029

White Small SPX302W 1 7029Medium SPX310W 1 7029Large SPX318W 1 7029X Large SPX326W 1 7029XX Large SPX334W 1 7029

Female High Waist lace with hole and velcro gussetBlack Small SPX301B 1 7029

Medium SPX309B 1 7029Large SPX317B 1 7029X Large SPX325B 1 7029XX Large SPX333B 1 7029

Skin Small SPX301S 1 7029Medium SPX309S 1 7029Large SPX317S 1 7029X Large SPX325S 1 7029XX Large SPX333S 1 7029

White Small SPX301W 1 7029Medium SPX309W 1 7029Large SPX317W 1 7029X Large SPX325W 1 7029XX Large SPX333W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

622

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Female High Waist lace with velcro gussetBlack Small SPX305B 1 7029

Medium SPX313B 1 7029Large SPX321B 1 7029X Large SPX329B 1 7029XX Large SPX337B 1 7029

Skin Small SPX305S 1 7029Medium SPX313S 1 7029Large SPX321S 1 7029X Large SPX329S 1 7029XX Large SPX337S 1 7029

White Small SPX305W 1 7029Medium SPX313W 1 7029Large SPX321W 1 7029X Large SPX329W 1 7029XX Large SPX337W 1 7029

Female High Waist with velcro gussetBlack Small SPX307B 1 7029

Medium SPX315B 1 7029Large SPX323B 1 7029X Large SPX331B 1 7029XX Large SPX339B 1 7029

Skin Small SPX307S 1 7029Medium SPX315S 1 7029Large SPX323S 1 7029X Large SPX331S 1 7029XX Large SPX339S 1 7029

White Small SPX307W 1 7029Medium SPX315W 1 7029Large SPX323W 1 7029X Large SPX331W 1 7029XX Large SPX339W 1 7029

Female Low WaistBlack Small SPX348B 1 7029

Medium SPX356B 1 7029Large SPX364B 1 7029X Large SPX372B 1 7029XX Large SPX380B 1 7029

Skin Small SPX348S 1 7029Medium SPX356S 1 7029Large SPX364S 1 7029X Large SPX372S 1 7029XX Large SPX380S 1 7029

White Small SPX348W 1 7029Medium SPX356W 1 7029Large SPX364W 1 7029X Large SPX372W 1 7029XX Large SPX380W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

623

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd Female Low Waist with holeBlack Small SPX344B 1 7029

Medium SPX352B 1 7029Large SPX360B 1 7029X Large SPX368B 1 7029XX Large SPX376B 1 7029

Skin Small SPX344S 1 7029Medium SPX352S 1 7029Large SPX360S 1 7029X Large SPX368S 1 7029XX Large SPX376S 1 7029

White Small SPX344W 1 7029Medium SPX352W 1 7029Large SPX360W 1 7029X Large SPX368W 1 7029XX Large SPX376W 1 7029

Female Low Waist with hole and velcro gussetBlack Small SPX343B 1 7029

Medium SPX351B 1 7029Large SPX359B 1 7029X Large SPX367B 1 7029XX Large SPX375B 1 7029

Skin Small SPX343S 1 7029Medium SPX351S 1 7029Large SPX359S 1 7029X Large SPX367S 1 7029XX Large SPX375S 1 7029

White Small SPX343W 1 7029Medium SPX351W 1 7029Large SPX359W 1 7029X Large SPX367W 1 7029XX Large SPX375W 1 7029

Female Low Waist laceBlack Small SPX346B 1 7029

Medium SPX354B 1 7029Large SPX362B 1 7029X Large SPX370B 1 7029XX Large SPX378B 1 7029

Skin Small SPX346S 1 7029Medium SPX354S 1 7029Large SPX362S 1 7029X Large SPX370S 1 7029XX Large SPX378S 1 7029

White Small SPX346W 1 7029Medium SPX354W 1 7029Large SPX362W 1 7029X Large SPX370W 1 7029XX Large SPX378W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

624

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Female Low Waist lace with holeBlack Small SPX342B 1 7029

Medium SPX350B 1 7029Large SPX358B 1 7029X Large SPX366B 1 7029XX Large SPX374B 1 7029

Skin Small SPX342S 1 7029Medium SPX350S 1 7029Large SPX358S 1 7029X Large SPX366S 1 7029XX Large SPX374S 1 7029

White Small SPX342W 1 7029Medium SPX350W 1 7029Large SPX358W 1 7029X Large SPX366W 1 7029XX Large SPX374W 1 7029

Female Low Waist lace with hole and velcro gussetBlack Small SPX341B 1 7029

Medium SPX349B 1 7029Large SPX357B 1 7029X Large SPX365B 1 7029XX Large SPX373B 1 7029

Skin Small SPX341S 1 7029Medium SPX349S 1 7029Large SPX357S 1 7029X Large SPX365S 1 7029XX Large SPX373S 1 7029

White Small SPX341W 1 7029Medium SPX349W 1 7029Large SPX357W 1 7029X Large SPX365W 1 7029XX Large SPX373W 1 7029

Female Low Waist lace with velcro gussetBlack Small SPX345B 1 7029

Medium SPX353B 1 7029Large SPX361B 1 7029X Large SPX369B 1 7029XX Large SPX377B 1 7029

Skin Small SPX345S 1 7029Medium SPX353S 1 7029Large SPX361S 1 7029X Large SPX369S 1 7029XX Large SPX377S 1 7029

White Small SPX345W 1 7029Medium SPX353W 1 7029Large SPX361W 1 7029X Large SPX369W 1 7029XX Large SPX377W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

625

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd Female Low Waist with velcro gussetBlack Small SPX347B 1 7029

Medium SPX355B 1 7029Large SPX363B 1 7029X Large SPX371B 1 7029XX Large SPX379B 1 7029

Skin Small SPX347S 1 7029Medium SPX355S 1 7029Large SPX363S 1 7029X Large SPX371S 1 7029XX Large SPX379S 1 7029

White Small SPX347W 1 7029Medium SPX355W 1 7029Large SPX363W 1 7029X Large SPX371W 1 7029XX Large SPX379W 1 7029

Male High WaistBlack Small SPX104B 1 7029

Medium SPX108B 1 7029Large SPX112B 1 7029X Large SPX116B 1 7029XX Large SPX120B 1 7029

Skin Small SPX104S 1 7029Medium SPX108S 1 7029Large SPX112S 1 7029X Large SPX116S 1 7029XX Large SPX120S 1 7029

White Small SPX104W 1 7029Medium SPX108W 1 7029Large SPX112W 1 7029X Large SPX116W 1 7029XX Large SPX120W 1 7029

Male High Waist with holeBlack Small SPX103B 1 7029

Medium SPX107B 1 7029Large SPX111B 1 7029X Large SPX115B 1 7029XX Large SPX119B 1 7029

Skin Small SPX103S 1 7029Medium SPX107S 1 7029Large SPX111S 1 7029X Large SPX115S 1 7029XX Large SPX119S 1 7029

White Small SPX103W 1 7029Medium SPX107W 1 7029Large SPX111W 1 7029X Large SPX115W 1 7029XX Large SPX119W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

626

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Male High Waist with legsBlack Small SPX102B 1 7029

Medium SPX106B 1 7029Large SPX110B 1 7029X Large SPX114B 1 7029XX Large SPX118B 1 7029

Skin Small SPX102S 1 7029Medium SPX106S 1 7029Large SPX110S 1 7029X Large SPX114S 1 7029XX Large SPX118S 1 7029

White Small SPX102W 1 7029Medium SPX106W 1 7029Large SPX110W 1 7029X Large SPX114W 1 7029XX Large SPX118W 1 7029

Male High Waist with legs and holeBlack Small SPX101B 1 7029

Medium SPX105B 1 7029Large SPX109B 1 7029X Large SPX113B 1 7029XX Large SPX117B 1 7029

Skin Small SPX101S 1 7029Medium SPX105S 1 7029Large SPX109S 1 7029X Large SPX113S 1 7029XX Large SPX117S 1 7029

White Small SPX101W 1 7029Medium SPX105W 1 7029Large SPX109W 1 7029X Large SPX113W 1 7029XX Large SPX117W 1 7029

Male Low WaistBlack Small SPX124B 1 7029

Medium SPX128B 1 7029Large SPX132B 1 7029X Large SPX136B 1 7029XX Large SPX140B 1 7029

Skin Small SPX124S 1 7029Medium SPX128S 1 7029Large SPX132S 1 7029X Large SPX136S 1 7029XX Large SPX140S 1 7029

White Small SPX124W 1 7029Medium SPX128W 1 7029Large SPX132W 1 7029X Large SPX136W 1 7029XX Large SPX140W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

627

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd Male Low Waist with holeBlack Small SPX123B 1 7029

Medium SPX127B 1 7029Large SPX131B 1 7029X Large SPX135B 1 7029XX Large SPX139B 1 7029

Skin Small SPX123S 1 7029Medium SPX127S 1 7029Large SPX131S 1 7029X Large SPX135S 1 7029XX Large SPX139S 1 7029

White Small SPX123W 1 7029Medium SPX127W 1 7029Large SPX131W 1 7029X Large SPX135W 1 7029XX Large SPX139W 1 7029

Male Low Waist with legsBlack Small SPX122B 1 7029

Medium SPX126B 1 7029Large SPX130B 1 7029X Large SPX134B 1 7029XX Large SPX138B 1 7029

Skin Small SPX122S 1 7029Medium SPX126S 1 7029Large SPX130S 1 7029X Large SPX134S 1 7029XX Large SPX138S 1 7029

White Small SPX122W 1 7029Medium SPX126W 1 7029Large SPX130W 1 7029X Large SPX134W 1 7029XX Large SPX138W 1 7029

Male Low Waist with legs and holeBlack Small SPX121B 1 7029

Medium SPX125B 1 7029Large SPX129B 1 7029X Large SPX133B 1 7029XX Large SPX137B 1 7029

Skin Small SPX121S 1 7029Medium SPX125S 1 7029Large SPX129S 1 7029X Large SPX133S 1 7029XX Large SPX137S 1 7029

White Small SPX121W 1 7029Medium SPX125W 1 7029Large SPX129W 1 7029X Large SPX133W 1 7029XX Large SPX137W 1 7029

Manufacturer Appliance Order No. Quantity List Price p

628

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd Suportx Ostomy & Abdominal Support with built in pouch cover and night drainageLadies BriefsBlack Sizes 10-24 AL11-AL18 1 1011

Bespoke size AL19 1 1011Skin Sizes 10-24 AL21-AL28 1 1011

Bespoke size AL29 1 1011White Sizes 10-24 AL01-AL08 1 1011

Bespoke size AL09 1 1011Ladies ShortsBlack Sizes 10-24 AL61-AL68 1 1011

Bespoke size AL69 1 1011Skin Sizes 10-24 AL71-AL78 1 1011

Bespoke size AL79 1 1011White Sizes 10-24 AL51-AL58 1 1011

Bespoke size AL59 1 1011

Suportx Ostomy/Hernia Breathable Easy Peel Support Belt15cmBlack X Small SPX543B 1 5586

Small SPX544B 1 5586Medium SPX545B 1 5586Large SPX546B 1 5586X Large SPX547B 1 5586

Skin X Small SPX543S 1 5586Small SPX544S 1 5586Medium SPX545S 1 5586Large SPX546S 1 5586X Large SPX547S 1 5586

White X Small SPX543W 1 5586Small SPX544W 1 5586Medium SPX545W 1 5586Large SPX546W 1 5586X Large SPX547W 1 5586

15cm with holeBlack X Small SPX643B 1 6911

Small SPX644B 1 6911Medium SPX645B 1 6911Large SPX646B 1 6911X Large SPX647B 1 6911

Skin X Small SPX643S 1 6911Small SPX644S 1 6911Medium SPX645S 1 6911Large SPX646S 1 6911X Large SPX647S 1 6911

White X Small SPX643W 1 6911Small SPX644W 1 6911Medium SPX645W 1 6911Large SPX646W 1 6911X Large SPX647W 1 6911

629

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd 20cmBlack X Small SPX553B 1 6080

Small SPX554B 1 6080Medium SPX555B 1 6080Large SPX556B 1 6080X Large SPX557B 1 60802X Large SPX558B 1 60803X Large SPX559B 1 6080

Skin X Small SPX553S 1 6080Small SPX554S 1 6080Medium SPX555S 1 6080Large SPX556S 1 6080X Large SPX557S 1 60802X Large SPX558S 1 60803X Large SPX559S 1 6080

White X Small SPX553W 1 6080Small SPX554W 1 6080Medium SPX555W 1 6080Large SPX556W 1 6080X Large SPX557W 1 60802X Large SPX558W 1 60803X Large SPX559W 1 6080

20cm with holeBlack X Small SPX653B 1 7404

Small SPX654B 1 7404Medium SPX655B 1 7404Large SPX656B 1 7404X Large SPX657B 1 74042X Large SPX658B 1 74043X Large SPX659B 1 7404

Skin X Small SPX653S 1 7404Small SPX654S 1 7404Medium SPX655S 1 7404Large SPX656S 1 7404X Large SPX657S 1 74042X Large SPX658S 1 74043X Large SPX659S 1 7404

White X Small SPX653W 1 7404Small SPX654W 1 7404Medium SPX655W 1 7404Large SPX656W 1 7404X Large SPX657W 1 74042X Large SPX658W 1 74043X Large SPX659W 1 7404

Manufacturer Appliance Order No. Quantity List Price p

630

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd 26cmBlack Medium SPX565B 1 6485

Large SPX566B 1 6485X Large SPX567B 1 64852X Large SPX568B 1 64853X Large SPX569B 1 6485

Skin Medium SPX565S 1 6485Large SPX566S 1 6485X Large SPX567S 1 64852X Large SPX568S 1 64853X Large SPX569S 1 6485

White Medium SPX565W 1 6485Large SPX566W 1 6485X Large SPX567W 1 64852X Large SPX568W 1 64853X Large SPX569W 1 6485

26cm with holeBlack Medium SPX665B 1 7809

Large SPX666B 1 7809X Large SPX667B 1 78092X Large SPX668B 1 78093X Large SPX669B 1 7809

Skin Medium SPX665S 1 7809Large SPX666S 1 7809X Large SPX667S 1 78092X Large SPX668S 1 78093X Large SPX669S 1 7809

White Medium SPX665W 1 7809Large SPX666W 1 7809X Large SPX667W 1 78092X Large SPX668W 1 78093X Large SPX669W 1 7809

Manufacturer Appliance Order No. Quantity List Price p

631

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd Suportx Ostomy/Hernia Breathable Tube Belt15cmBlack X Small SPX573B 1 4478

Small SPX574B 1 4478Medium SPX575B 1 4478Large SPX576B 1 4478X Large SPX577B 1 4478

Skin X Small SPX573S 1 4478Small SPX574S 1 4478Medium SPX575S 1 4478Large SPX576S 1 4478X Large SPX577S 1 4478

White X Small SPX573W 1 4478Small SPX574W 1 4478Medium SPX575W 1 4478Large SPX576W 1 4478X Large SPX577W 1 4478

15cm with holeBlack X Small SPX673B 1 5802

Small SPX674B 1 5802Medium SPX675B 1 5802Large SPX676B 1 5802X Large SPX677B 1 5802

Skin X Small SPX673S 1 5802Small SPX674S 1 5802Medium SPX675S 1 5802Large SPX676S 1 5802X Large SPX677S 1 5802

White X Small SPX673W 1 5802Small SPX674W 1 5802Medium SPX675W 1 5802Large SPX676W 1 5802X Large SPX677W 1 5802

20cmBlack X Small SPX583B 1 4595

Small SPX584B 1 4595Medium SPX585B 1 4595Large SPX586B 1 4595X Large SPX587B 1 45952X Large SPX588B 1 45953X Large SPX589B 1 4595

632

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Skin X Small SPX583S 1 4595Small SPX584S 1 4595Medium SPX585S 1 4595Large SPX586S 1 4595X Large SPX587S 1 45952X Large SPX588S 1 45953X Large SPX589S 1 4595

White X Small SPX583W 1 4595Small SPX584W 1 4595Medium SPX585W 1 4595Large SPX586W 1 4595X Large SPX587W 1 45952X Large SPX588W 1 45953X Large SPX589W 1 4595

20cm with holeBlack X Small SPX683B 1 5920

Small SPX684B 1 5920Medium SPX685B 1 5920Large SPX686B 1 5920X Large SPX687B 1 59202X Large SPX688B 1 59203X Large SPX689B 1 5920

Skin X Small SPX683S 1 5920Small SPX684S 1 5920Medium SPX685S 1 5920Large SPX686S 1 5920X Large SPX687S 1 59202X Large SPX688S 1 59203X Large SPX689S 1 5920

White X Small SPX683W 1 5920Small SPX684W 1 5920Medium SPX685W 1 5920Large SPX686W 1 5920X Large SPX687W 1 59202X Large SPX688W 1 59203X Large SPX689W 1 5920

26cmBlack Medium SPX595B 1 4820

Large SPX596B 1 4820X Large SPX597B 1 48202X Large SPX598B 1 48203X Large SPX599B 1 4820

Manufacturer Appliance Order No. Quantity List Price p

633

11/2019 Part IXCSTOMA APPLIANCES

BELTS

AMI Medical Ltd Skin Medium SPX595S 1 4820Large SPX596S 1 4820X Large SPX597S 1 48202X Large SPX598S 1 48203X Large SPX599S 1 4820

White Medium SPX595W 1 4820Large SPX596W 1 4820X Large SPX597W 1 48202X Large SPX598W 1 48203X Large SPX599W 1 4820

26cm with holeBlack Medium SPX695B 1 6145

Large SPX696B 1 6145X Large SPX697B 1 61452X Large SPX698B 1 61453X Large SPX699B 1 6145

Skin Medium SPX695S 1 6145Large SPX696S 1 6145X Large SPX697S 1 61452X Large SPX698S 1 61453X Large SPX699S 1 6145

White Medium SPX695W 1 6145Large SPX696W 1 6145X Large SPX697W 1 61452X Large SPX698W 1 61453X Large SPX699W 1 6145

Suportx Ostomy/Hernia Easy Peel Support Belt20cmBlack Small (75-90cm) SPX711B 1 4911

Medium (90-105cm) SPX712B 1 4911Large (105-120cms) SPX713B 1 4911X Large (120-135cm) SPX714B 1 4911XX Large (135-148cm) SPX715B 1 4911Bespoke size SPX716B 1 5649

Skin Small (75-90cm) SPX711S 1 4911Medium (90-105cm) SPX712S 1 4911Large (105-120cms) SPX713S 1 4911X Large (120-135cm) SPX714S 1 4911XX Large (135-148cm) SPX715S 1 4911Bespoke size SPX716S 1 5649

Manufacturer Appliance Order No. Quantity List Price p

634

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd White Small (75-90cm) SPX711W 1 4911Medium (90-105cm) SPX712W 1 4911Large (105-120cms) SPX713W 1 4911X Large (120-135cm) SPX714W 1 4911XX Large (135-148cm) SPX715W 1 4911Bespoke size SPX716W 1 5649

20cm with holeBlack Small (75-90cm) SPX811B 1 5882

Medium (90-105cm) SPX812B 1 5882Large (105-120cms) SPX813B 1 5882X Large (120-135cm) SPX814B 1 5882XX Large (135-148cm) SPX815B 1 5882Bespoke size SPX816B 1 6765

Skin Small (75-90cm) SPX811S 1 5882Medium (90-105cm) SPX812S 1 5882Large (105-120cms) SPX813S 1 5882X Large (120-135cm) SPX814S 1 5882XX Large (135-148cm) SPX815S 1 5882Bespoke size SPX816S 1 6765

White Small (75-90cm) SPX811W 1 5882Medium (90-105cm) SPX812W 1 5882Large (105-120cms) SPX813W 1 5882X Large (120-135cm) SPX814W 1 5882XX Large (135-148cm) SPX815W 1 5882Bespoke size SPX816W 1 6765

26cmBlack Small (75-90cm) SPX721B 1 5400

Medium (90-105cm) SPX722B 1 5400Large (105-120cms) SPX723B 1 5400X Large (120-135cm) SPX724B 1 5400XX Large (135-148cm) SPX725B 1 5400Bespoke size SPX726B 1 6210

Skin Small (75-90cm) SPX721S 1 5400Medium (90-105cm) SPX722S 1 5400Large (105-120cms) SPX723S 1 5400X Large (120-135cm) SPX724S 1 5400XX Large (135-148cm) SPX725S 1 5400Bespoke size SPX726S 1 6210

White Small (75-90cm) SPX721W 1 5400Medium (90-105cm) SPX722W 1 5400Large (105-120cms) SPX723W 1 5400X Large (120-135cm) SPX724W 1 5400XX Large (135-148cm) SPX725W 1 5400Bespoke size SPX726W 1 6210

Manufacturer Appliance Order No. Quantity List Price p

635

Part IXC 11/2019STOMA APPLIANCES

BELTS

AMI Medical Ltd 26cm with holeBlack Small (75-90cm) SPX821B 1 6402

Medium (90-105cm) SPX822B 1 6402Large (105-120cms) SPX823B 1 6402X Large (120-135cm) SPX824B 1 6402XX Large (135-148cm) SPX825B 1 6402Bespoke size SPX826B 1 7362

Skin Small (75-90cm) SPX821S 1 6402Medium (90-105cm) SPX822S 1 6402Large (105-120cms) SPX823S 1 6402X Large (120-135cm) SPX824S 1 6402XX Large (135-148cm) SPX825S 1 6402Bespoke size SPX826S 1 7362

White Small (75-90cm) SPX821W 1 6402Medium (90-105cm) SPX822W 1 6402Large (105-120cms) SPX823W 1 6402X Large (120-135cm) SPX824W 1 6402XX Large (135-148cm) SPX825W 1 6402Bespoke size SPX826W 1 7362

Suportx Ostomy/Hernia Support Belt15cm depthBlack Small (75-90cm) SPX501B 1 4632

Medium (90-105cm) SPX502B 1 4632Large (105-120cm) SPX503B 1 4632Extra Large (120-135cm) SPX504B 1 4632Extra Extra Large (135-148cm) SPX505B 1 4632Bespoke size SPX506B 1 5328

Skin Small (75-90cm) SPX501S 1 4632Medium (90-105cm) SPX502S 1 4632Large (105-120cm) SPX503S 1 4632Extra Large (120-135cm) SPX504S 1 4632Extra Extra Large (135-148cm) SPX505S 1 4632Bespoke size SPX506S 1 5328

White Small (75-90cm) SPX501W 1 4632Medium (90-105cm) SPX502W 1 4632Large (105-120cm) SPX503W 1 4632Extra Large (120-135cm) SPX504W 1 4632Extra Extra Large (135-148cm) SPX505W 1 4632Bespoke size SPX506W 1 5328

Manufacturer Appliance Order No. Quantity List Price p

636

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price p

AMI Medical Ltd 15cm depth with Hole CuttingBlack Small (75-90cm) SPX601B 1 5606

Medium (90-105cm) SPX602B 1 5606Large (105-120cm) SPX603B 1 5606Extra Large (120-135cm) SPX604B 1 5606Extra Extra Large (135-148cm) SPX605B 1 5606Bespoke size SPX606B 1 6447

Skin Small (75-90cm) SPX601S 1 5606Medium (90-105cm) SPX602S 1 5606Large (105-120cm) SPX603S 1 5606Extra Large (120-135cm) SPX604S 1 5606Extra Extra Large (135-148cm) SPX605S 1 5606Bespoke size SPX606S 1 6447

White Small (75-90cm) SPX601W 1 5606Medium (90-105cm) SPX602W 1 5606Large (105-120cm) SPX603W 1 5606Extra Large (120-135cm) SPX604W 1 5606Extra Extra Large (135-148cm) SPX605W 1 5606Bespoke size SPX606W 1 6447

20cm depthBlack Bespoke size SPX516B 1 5649Skin Bespoke size SPX516S 1 5649White Bespoke size SPX516W 1 5649

20cm depth with Hole CuttingBlack Bespoke size SPX616B 1 6765Skin Bespoke size SPX616S 1 6765White Bespoke size SPX616W 1 6765

26cm depthBlack Bespoke size SPX526B 1 6210Skin Bespoke size SPX526S 1 6210White Bespoke size SPX526W 1 6210

26cm depth with Hole CuttingBlack Bespoke size SPX626B 1 7362Skin Bespoke size SPX626S 1 7362White Bespoke size SPX626W 1 7362

B. Braun Medical

B. Braun Stoma Care Belt 5028E 1 795

637

Part IXC 11/2019STOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price p

C S Bullen Ltd 25mm Elastic Belt with plastic retainer ring shield UF 47 1 1151

38mm Elastic Belt with wire ring retainerSmall UF 44 1 1088Medium UF 45 1 1088Large UF 46 1 1088

Camilla Panty Girdle BS210 1 1962

Cloe Roll-on Girdle BS225 1 1667

Fitting windows in Stoma belt for use with Ileostomybags or colostomy cups

UF 561 1 511

St Mark's Belt UF551 1 4334

Waterproof Canvas retaining shieldSmall UF 48 1 1619Medium UF 49 1 1619Large UF 50 1 1619

Coloplast Ltd Brava Belt, Standard Size 0421 1 702Brava Belt XL 0422 1 698Brava Belt (for SenSura Mio)

Standard 0423 1 703XXL 0424 1 703

ConvaTec Ltd System 2 Belt S210 1 360

CoverCare Male Support BeltWaist Size Small 65-75cm L100 1 2990

Medium 77.5-87.5cm L101 1 2990Large 90-100cm L102 1 2990Ex- Large 102.5-112.5cm L103 1 2990

Provision for hole aperture HOLE 1 573(Patients who require a hole in belt should ensure belt fits correctly and with it on, ask stomacare nurse to mark central position of stoma with a cross (X); and return belt to supplier withsample of pouch used so that hole in belt can be customised to fit individual requirements).

638

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

CUI International CuiwearBriefsWhite Small/Medium FG31 1 1246

Medium/Large FG32 1 1246Large/X Large FG33 1 1246X Large/XX Large FG34 1 1246XX Large/XXX Large FG35 1 1246

Skin Small/Medium FG36 1 1246Medium/Large FG37 1 1246Large/X Large FG38 1 1246X Large/XX Large FG39 1 1246XX Large/XXX Large FG40 1 1246

Black Small/Medium FG41 1 1246Medium/Large FG42 1 1246Large/X Large FG43 1 1246X Large/XX Large FG44 1 1246XX Large/XXX Large FG45 1 1246

Unisex BoxerWhite Small/Medium CG31 1 1246

Medium/Large CG32 1 1246Large/X Large CG33 1 1246X Large/XX Large CG34 1 1246XX Large/XXX Large CG35 1 1246

Skin Small/Medium CG36 1 1246Medium/Large CG37 1 1246Large/X Large CG38 1 1246X Large/XX Large CG39 1 1246XX Large/XXX Large CG40 1 1246

Black Small/Medium CG41 1 1246Medium/Large CG42 1 1246Large/X Large CG43 1 1246X Large/XX Large CG44 1 1246XX Large/XXX Large CG45 1 1246

FulcioliteLeft (White) Size 8 FG01 1 2757

Size 10 FG02 1 2757Size 12 FG03 1 2757Size 14 FG04 1 2757Size 16 FG05 1 2757Size 18 FG06 1 2757Size 20 FG07 1 2757Size 22 FG08 1 2757Size 24 FG09 1 2757

639

11/2019 Part IXCSTOMA APPLIANCES

BELTS

CUI International Right (White) Size 8 FG10 1 2757Size 10 FG11 1 2757Size 12 FG12 1 2757Size 14 FG13 1 2757Size 16 FG14 1 2757Size 18 FG15 1 2757Size 20 FG16 1 2757Size 22 FG17 1 2757Size 24 FG18 1 2757

Fulcionel Female F301-F380 1 7669Male M101-M140 1 7669

Fulcionel AR Ostomy/Hernia Support Belt20cm depth

Extra Small (upto 75cm) F550 1 5131Small (75-90cm) F551 1 5131Medium (90-105cm) F552 1 5131Large (105-120cm) F553 1 5131Extra Large (120-135cm) F554 1 5131Special Order any size F555 1 5901

20cm depth with Hole CuttingExtra Small (upto 75cm) F556 1 6135Small (75-90cm) F557 1 6135Medium (90-105cm) F558 1 6135Large (105-120cm) F559 1 6135Extra Large (120-135cm) F560 1 6135Special Order any size F561 1 7055

26cm depthExtra Small (upto 75cm) F562 1 5710Small (75-90cm) F563 1 5710Medium (90-105cm) F564 1 5710Large (105-120cm) F565 1 5710Extra Large (120-135cm) F566 1 5710Special Order any size F567 1 6568

26cm depth with Hole CuttingExtra Small (upto 75cm) F568 1 6714Small (75-90cm) F569 1 6714Medium (90-105cm) F570 1 6714Large (105-120cm) F571 1 6714Extra Large (120-135cm) F572 1 6714Special Order any size F573 1 7722

Fulcionel Bespoke GirdleFemale F381 1 9012Male M141 1 9012

Manufacturer Appliance Order No. Quantity List Price p

640

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

CUI International Fulcionel Medium Support Hernia BeltWhite, Black15cm depth

Small F715 1 4149Medium F716 1 4149Large F717 1 4149X Large F718 1 4149XX Large F719 1 4149

15cm depth with customised hole cutSmall F720 1 5063Medium F721 1 5063Large F722 1 5063X Large F723 1 5063XX Large F724 1 5063

20cm depthSmall F725 1 4425Medium F726 1 4425Large F727 1 4425X Large F728 1 4425XX Large F729 1 4425

20cm depth with customised hole cutSmall F730 1 5335Medium F731 1 5335Large F732 1 5335X Large F733 1 5335XX Large F734 1 5335

26cm depthSmall F735 1 4920Medium F736 1 4920Large F737 1 4920X Large F738 1 4920XX Large F739 1 4920

26cm depth with customised hole cutSmall F740 1 5858Medium F741 1 5858Large F742 1 5858X Large F743 1 5858XX Large F744 1 5858

Fulcionel Ostomy/Hernia Support Belt20cm depth

Extra Small F501 1 4920Small F503 1 4920Medium F505 1 4920Large F507 1 4920Extra Large F509 1 4920

641

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pCUI International 20cm with hole cutting and bespoke fitting

Extra Small F502 1 5924Small F504 1 5924Medium F506 1 5924Large F508 1 5924Extra Large F510 1 5924

26cm depthExtra Small F511 1 5472Small F513 1 5472Medium F515 1 5472Large F517 1 5472Extra Large F519 1 5472

26cm with hole cutting and bespoke fittingExtra Small F512 1 6465Small F514 1 6465Medium F516 1 6465Large F518 1 6465Extra Large F520 1 6465

Fulcionel Ostomy/Hernia Support Belt with adjustable opening20cm depthRight

Extra Small F910 1 5047Small F911 1 5047Medium F912 1 5047Large F913 1 5047X Large F914 1 5047XX Large F915 1 5047

20cm depthLeft

Extra Small F916 1 5047Small F917 1 5047Medium F918 1 5047Large F919 1 5047X Large F920 1 5047XX Large F921 1 5047

26cm depthRight

Extra Small F922 1 5617Small F923 1 5617Medium F924 1 5617Large F925 1 5617X Large F926 1 5617XX Large F927 1 5617

26cm depthLeft

Extra Small F928 1 5617Small F929 1 5617Medium F930 1 5617Large F931 1 5617X Large F932 1 5617XX Large F933 1 5617

642

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pCUI International Fulcionel Ostomy/Hernia Support Tube Belt

15cm depthBeige Extra Small F801BE 1 3800

Small F802BE 1 3800Medium F803BE 1 3800Large F804BE 1 3800X Large F805BE 1 3800XX Large F806BE 1 3800

Black Extra Small F801B 1 3800Small F802B 1 3800Medium F803B 1 3800Large F804B 1 3800X Large F805B 1 3800XX Large F806B 1 3800

White Extra Small F801W 1 3800Small F802W 1 3800Medium F803W 1 3800Large F804W 1 3800X Large F805W 1 3800XX Large F806W 1 3800

15cm depth with hole cuttingBeige Extra Small F807BE 1 4300

Small F808BE 1 4300Medium F809BE 1 4300Large F810BE 1 4300X Large F811BE 1 4300XX Large F812BE 1 4300

Black Extra Small F807B 1 4300Small F808B 1 4300Medium F809B 1 4300Large F810B 1 4300X Large F811B 1 4300XX Large F812B 1 4300

White Extra Small F807W 1 4300Small F808W 1 4300Medium F809W 1 4300Large F810W 1 4300X Large F811W 1 4300XX Large F812W 1 4300

20cm depthBeige Extra Small F813BE 1 3800

Small F814BE 1 3800Medium F815BE 1 3800Large F816BE 1 3800X Large F817BE 1 3800XX Large F818BE 1 3800

Black Extra Small F813B 1 3800Small F814B 1 3800Medium F815B 1 3800Large F816B 1 3800X Large F817B 1 3800XX Large F818B 1 3800

White Extra Small F813W 1 3800Small F814W 1 3800Medium F815W 1 3800Large F816W 1 3800X Large F817W 1 3800XX Large F818W 1 3800

643

11/2019 Part IXCSTOMA APPLIANCES

BELTS

CUI International 20cm depth with hole cuttingBeige Extra Small F819BE 1 4300

Small F820BE 1 4300Medium F821BE 1 4300Large F822BE 1 4300X Large F823BE 1 4300XX Large F824BE 1 4300

Black Extra Small F819B 1 4300Small F820B 1 4300Medium F821B 1 4300Large F822B 1 4300X Large F823B 1 4300XX Large F824B 1 4300

White Extra Small F819W 1 4300Small F820W 1 4300Medium F821W 1 4300Large F822W 1 4300X Large F823W 1 4300XX Large F824W 1 4300

26cm depthBeige Extra Small F825BE 1 3800

Small F826BE 1 3800Medium F827BE 1 3800Large F828BE 1 3800X Large F829BE 1 3800XX Large F830BE 1 3800

Black Extra Small F825B 1 3800Small F826B 1 3800Medium F827B 1 3800Large F828B 1 3800X Large F829B 1 3800XX Large F830B 1 3800

White Extra Small F825W 1 3800Small F826W 1 3800Medium F827W 1 3800Large F828W 1 3800X Large F829W 1 3800XX Large F830W 1 3800

26cm depth with hole cuttingBeige Extra Small F831BE 1 4300

Small F832BE 1 4300Medium F833BE 1 4300Large F834BE 1 4300X Large F835BE 1 4300XX Large F836BE 1 4300

Black Extra Small F831B 1 4300Small F832B 1 4300Medium F833B 1 4300Large F834B 1 4300X Large F835B 1 4300XX Large F836B 1 4300

White Extra Small F831W 1 4300Small F832W 1 4300Medium F833W 1 4300Large F834W 1 4300X Large F835W 1 4300XX Large F836W 1 4300

Beige Bespoke F837BE 1 4550Black Bespoke F837B 1 4550White Bespoke F837W 1 4550

Manufacturer Appliance Order No. Quantity List Price p

644

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price pCUI International Fulcionel Square Stretch Support Belt

26cm and below depthSmall (75-90cm) F701 1 2317Medium (90-105cm) F702 1 2317Large (120-135cm) F703 1 2317Extra Large (135-148cm) F704 1 2317Extra Extra Large (148-163cm) F705 1 2317

27cm and above depthSmall (75-90cm) F706 1 2492Medium (90-105cm) F707 1 2492Large (120-135cm) F708 1 2492Extra Large (135-148cm) F709 1 2492Extra Extra Large (148-163cm) F710 1 2492

Fulcionel Unisex Prolapse Hernia Bespoke Support BeltWhite, Black and Skin F580 1 8400

UltraliteLeft (White) Size 8 CG01 1 1589

Size 10 CG02 1 1589Size 12 CG03 1 1589Size 14 CG04 1 1589Size 16 CG05 1 1589Size 18 CG06 1 1589Size 20 CG07 1 1589Size 22 CG08 1 1589Size 24 CG09 1 1589

Right (White) Size 8 CG10 1 1589Size 10 CG11 1 1589Size 12 CG12 1 1589Size 14 CG13 1 1589Size 16 CG14 1 1589Size 18 CG15 1 1589Size 20 CG16 1 1589Size 22 CG17 1 1589Size 24 CG18 1 1589

Dansac Ltd Dansac Belt & Plate Pack1 adjustable elasticated belt with 5 plates suitable for one and two piece appliances

50-63mm 09075-0000 1 4438Dansac Belt Pack

5 adjustable elasticated belts50-63mm 09000-0000 5 4438

Dansac high output ostomy belt pack 09076-0000 1 44381 adjustable elasticated belt with 5 plates

Dansac Long Ostomy BeltWhite 150cm 090-01 1 791Beige 100cm 090-02 1 791Beige 150cm 090-03 1 791

645

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

DBT Medical Ltd Birkbeck Elastic Waistband & Shield19mm LM725219 5 525538mm LM725238 5 525554mm LM725254 5 5255

Birkbeck Retaining ring - for use with above19mm LM725319 5 99638mm LM725338 5 97954mm LM725354 5 979

Birkbeck Elastic Waist band LM725100 5 3994

White Sausage Belt LM810004 per metre 898

Hollister Ltd Adapt Belt58-109cm 7300 1 81286-165cm 7299 1 812

Jade-Euro-Med Ltd

Belt/double cotton face piece for St. Marks flange.STATE HOLE SIZE KM 22 1 1815

Belt/double cotton face piece with elastic fixing for St. Marks flange.STATE HOLE SIZE KM 23 1 2368

Belt/double cotton face piece with tapes fixing for St. Marks flange.STATE HOLE SIZE KM 24 1 2393

St Mark's Pattern Col. BeltMale KM 30 1 6936Female KM 31 1 6936

Ostomy Web and Elastic Belt with Button & BuckleFastening 25mm KM 25 1 1007Fastening 51mm KM 26 1 1192Fastening 76mm KM 27 1 1373

Ostomy Girdle or Panti Brief, Hole over Stoma withor without Suspenders

KM 21 1 5876

(Range=KM2101 - KM2126)

Web & Elastic Belt25mm wideSmall WL002-25-01-S 1 1316Medium WL002-25-02-U 1 1316Large WL002-25-03-W 1 1316

646

Part IXC 11/2019STOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-MedLtd

51mm wideLengths:81cm WL002-51-32-D 1 153486cm WL002-51-34-H 1 153491cm WL002-51-36-M 1 153497cm WL002-51-38-R 1 1534102cm WL002-51-40-C 1 1534107cm WL002-51-42-G 1 1534112cm WL002-51-44-L 1 1534

Short Web End and Buckle WL005-25-P 1 888

Web & Elastic Belt (25mm wide)61cm WL008-25-24-U 1 138876cm WL008-25-30-P 1 138881cm WL008-25-32-T 1 138891cm WL008-25-36-C 1 1388

Narrow BeltFlange diam (38mm)91cm WL111-38-36-R 1 273697cm WL111-38-38-V 1 2736102cm WL111-38-40-G 1 2736

Web & Elastic Belt Child25mm wide71cm WL129-25-28-J 1 1106

38mm wide66cm WL129-38-26-X 1 154171cm WL129-38-28-C 1 154176cm WL129-38-30-N 1 154191cm WL129-38-36-B 1 1541

Elastic Non-Slip Belt81cm WL132-25-32-L 1 154086cm WL132-25-34-Q 1 154097cm WL132-25-38-Y 1 1540112cm WL132-25-44-T 1 1540

Non-slip belt81cm WL133-01-32-P 1 225686cm WL133-01-34-T 1 225691cm WL133-01-36-X 1 225697cm WL133-01-38-C 1 2256102cm WL133-01-40-N 1 2256

647

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

Kavendor Ltd Comfizz Stoma Protector SP1 1 1020

Comfizz Stoma Shallow WaistbandNeutral Small/Medium WNS/M-SH 1 720Neutral Medium/Large WNM/L-SH 1 720Neutral Large/X Large WNL/XL-SH 1 720

Comfizz Stoma Support WearLevel I SupportBoxerBlack Small/Medium BOX-S/M-B 1 1234

Medium/Large BOX-M/L-B 1 1234Large/X Large BOX-L/XL-B 1 1234X Large/XX Large BOX-XL/2XL-B 1 1234XX Large/XXX Large BOX-2XL/3XL-B 1 1234

Neutral Small/Medium BOX-S/M-N 1 1234Medium/Large BOX-M/L-N 1 1234Large/X Large BOX-L/XL-N 1 1234X Large/XX Large BOX-XL/2XL-N 1 1234XX Large/XXX Large BOX-2XL/3XL-N 1 1234

Pink Small/Medium BOX-S/M-P 1 1234Medium/Large BOX-M/L-P 1 1234Large/X Large BOX-L/XL-P 1 1234X Large/XX Large BOX-XL/2XL-P 1 1234XX Large/XXX Large BOX-2XL/3XL-P 1 1234

Teal Small/Medium BOX-S/M-T 1 1234Medium/Large BOX-M/L-T 1 1234Large/X Large BOX-L/XL-T 1 1234X Large/XX Large BOX-XL/2XL-T 1 1234XX Large/XXX Large BOX-2XL/3XL-T 1 1234

White Small/Medium BOX-S/M-W 1 1234Medium/Large BOX-M/L-W 1 1234Large/X Large BOX-L/XL-W 1 1234X Large/XX Large BOX-XL/2XL-W 1 1234XX Large/XXX Large BOX-2XL/3XL-W 1 1234

Boxer with CupBlack Small/Medium BOX-S/M-B(M) 1 1224

Medium/Large BOX-M/L-B(M) 1 1224Large/X Large BOX-L/XL-B(M) 1 1224

White Small/Medium BOX-S/M-W(M) 1 1224Medium/Large BOX-M/L-W(M) 1 1224Large/X Large BOX-L/XL-W(M) 1 1224

648

Part IXC 11/2019STOMA APPLIANCES

BELTS

Kavendor Ltd BriefBlack Small/Medium BRF-S/M-B 1 1234

Medium/Large BRF-M/L-B 1 1234Large/X Large BRF-L/XL-B 1 1234X Large/XX Large BRF-XL/2XL-B 1 1234XX Large/XXX Large BRF-2XL/3XL-B 1 1234

Neutral Small/Medium BRF-S/M-N 1 1234Medium/Large BRF-M/L-N 1 1234Large/Extra Large BRF-L/XL-N 1 1234X Large/XX Large BRF-XL/2XL-N 1 1234XX Large/XXX Large BRF-2XL/3XL-N 1 1234

Pink Small/Medium BRF-S/M-P 1 1234Medium/Large BRF-M/L-P 1 1234Large/X Large BRF-L/XL-P 1 1234X Large/XX Large BRF-XL/2XL-P 1 1234XX Large/XXX Large BRF-2XL/3XL-P 1 1234

Teal Small/Medium BRF-S/M-T 1 1234Medium/Large BRF-M/L-T 1 1234Large/Extra Large BRF-L/XL-T 1 1234X Large/XX Large BRF-XL/2XL-T 1 1234XX Large/XXX Large BRF-2XL/3XL-T 1 1234

White Small/Medium BRF-S/M-W 1 1234Medium/Large BRF-M/L-W 1 1234Large/X Large BRF-L/XL-W 1 1234X Large/XX Large BRF-XL/2XL-W 1 1234XX Large/XXX Large BRF-2XL/3XL-W 1 1234

Junior BoxerBlack X Small BOX-JXS-B 1 1234

Small BOX-JS-B 1 1234Medium BOX-JM-B 1 1234Large BOX-JL-B 1 1234

Blue X Small BOX-JXS-BL 1 1233Small BOX-JS-BL 1 1233Medium BOX-JM-BL 1 1233Large BOX-JL-BL 1 1233

White X Small BOX-JXS-W 1 1234Small BOX-JS-W 1 1234Medium BOX-JM-W 1 1234Large BOX-JL-W 1 1234

Junior BriefBlack X Small BRF-JXS-B 1 1234

Small BRF-JS-B 1 1234Medium BRF-JM-B 1 1234Large BRF-JL-B 1 1234

Pink X Small BRF-JXS-P 1 1234Small BRF-JS-P 1 1234Medium BRF-JM-P 1 1234Large BRF-JL-P 1 1234

White X Small BRF-JXS-W 1 1234Small BRFJS-W 1 1234Medium BRF-JM-W 1 1234Large BRF-JL-W 1 1234

Manufacturer Appliance Order No. Quantity List Price p

649

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pKavendor Ltd Shallow Boxer

Black Small/Medium BOX-S/M-B-sh 1 1234Medium/Large BOX-M/L-B-sh 1 1234Large/X Large BOX-L/XL-B-sh 1 1234

White Small/Medium BOX-S/M-W-sh 1 1234Medium/Large BOX-M/L-W-sh 1 1234Large/X Large BOX-L/XL-W-sh 1 1234

Shallow BriefBlack Small/Medium BRF-S/M-B-sh 1 1234

Medium/Large BRF-M/L-B-sh 1 1234Large/X Large BRF-L/XL-B-sh 1 1234

White Small/Medium BRF-S/M-W-sh 1 1234Medium/Large BRF-M/L-W-sh 1 1234Large/X Large BRF-L/XL-W-sh 1 1234

ThongBlack Small/Medium TH-S/M-B 1 1224

Medium/Large TH-M/L-B 1 1224Large/X Large TH-L/XL-B 1 1224

White Small/Medium TH-S/M-W 1 1224Medium/Large TH-M/L-W 1 1224Large/X Large TH-L/XL-W 1 1224

Tank TopWhite - Male Small/Medium TTW-S/M(M) 1 2550

Medium/Large TTW-M/L(M) 1 2550Large/X Large TTW-L/XL(M) 1 2550X Large/XX Large TTW-XL/2XL(M) 1 2550

Light Support Garment Vest StyleBlack - Female Small/Medium VB-S/M(F) 1 2570

Medium/Large VB-M/L(F) 1 2570Large/X Large VB-L/XL(F) 1 2570X Large/ XX Large VB-XL/2XL(F) 1 2570

Black - Male Small/Medium VB-S/M(M) 1 2570Medium/Large VB-M/L(M) 1 2570Large/X Large VB-L/XL(M) 1 2570X Large/ XX Large VB-XL/2XL(M) 1 2570

Pink - Female Small/Medium VP-S/M(F) 1 2570Medium/Large VP-M/L(F) 1 2570Large/X Large VP-L/XL(F) 1 2570X Large/ XX Large VP-XL/2XL(F) 1 2570

Teal - Female Small/Medium VT-S/M(F) 1 2570Medium/Large VT-M/L(F) 1 2570Large/X Large VT-L/XL(F) 1 2570X Large/ XX Large VT-XL/2XL(F) 1 2570

White - Female Small/Medium VW-S/M(F) 1 2570Medium/Large VW-M/L(F) 1 2570Large/X Large VW-L/XL(F) 1 2570X Large/ XX Large VW-XL/2XL(F) 1 2570

White - Male Small/Medium VW-S/M(M) 1 2570Medium/Large VW-M/L(M) 1 2570Large/X Large VW-L/XL(M) 1 2570X Large/ XX Large VW-XL/2XL(M) 1 2570

650

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pKavendor Ltd Junior Vest

Blue - Boys X Small VBL-JXS-(M) 1 2570Small VBL-JS-(M) 1 2570Medium VBL-JM-(M) 1 2570Large VBL-JL-(M) 1 2570

Pink - Girls X Small VP-JXS-(F) 1 2570Small VP-JS-(F) 1 2570Medium VP-JM-(F) 1 2570Large VP-JL-(F) 1 2570

White - Boys X Small VW-JXS-(M) 1 2570Small VW-JS-(M) 1 2570Medium VW-JM-(M) 1 2570Large VW-JL-(M) 1 2570

White - Girls X Small VW-JXS-(F) 1 2570Small VW-JS-(F) 1 2570Medium VW-JM-(F) 1 2570Large VW-JL-(F) 1 2570

Shallow Waistband with Silicone GripBlack Small/Medium WBS/M-SH-si 1 918

Medium/Large WBM/L-SH-si 1 918Large/X Large WBL/XL-SH-si 1 918X Large/XX Large WBXL/2XL-SH-si 1 918XX Large/XXX Large WB2XL/3XL-SH-si 1 918

Neutral Small/Medium WNS/M-SH-si 1 925Medium/Large WNM/L-SH-si 1 925Large/X Large WNL/XL-SH-si 1 925X Large/XX Large WNXL/2XL-SH-si 1 918XX Large/XXX Large WN2XL/3XL-SH-si 1 918

White Small/Medium WWS/M-SH-si 1 918Medium/Large WWM/L-SH-si 1 918Large/X Large WWL/XL-SH-si 1 918X Large/XX Large WWXL/2XL-SH-si 1 918XX Large/XXX Large WW2XL/3XL-SH-si 1 918

Waistband with Silicone GripBlack Small/Medium WBS/M-si 1 918

Medium/Large WBM/L-si 1 918Large/X Large WBL/XL-si 1 918X Large/XX Large WBXL/2XL-si 1 918XX Large/XXX Large WB2XL/3XL-si 1 918

Neutral Small/Medium WNS/M-si 1 925Medium/Large WNM/L-si 1 925Large/X Large WNL/XL-si 1 925X Large/XX Large WNXL/2XL-si 1 925XX Large/XXX Large WN2XL/3XL-si 1 925

White Small/Medium WWS/M-si 1 918Medium/Large WWM/L-si 1 918Large/X Large WWL/XL-si 1 918X Large/XX Large WWXL/2XL-si 1 918XX Large/XXX Large WW2XL/3XL-si 1 918

651

Part IXC 11/2019STOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pKavendor Ltd Level II Support

Double Layer BoxerBlack Small/Medium BOX-S/M-B-D 1 2900

Medium/Large BOX-M/L-B-D 1 2900Large/X Large BOX-L/XL-B-D 1 2900X Large/XX Large BOX-XL/2XL-B-D 1 2900XX Large/XXX Large BOX-2XL/3XL-B-D 1 2900

White Small/Medium BOX-S/M-W-D 1 2900Medium/Large BOX-M/L-W-D 1 2900Large/X Large BOX-L/XL-W-D 1 2900X Large/XX Large BOX-XL/2XL-W-D 1 2900XX Large/XXX Large BOX-2XL/3XL-W-D 1 2900

Unisex BoxerBlack Small/Medium 2BOX-S/M-B 1 1733

Medium/Large 2BOX-M/L-B 1 1733Large/X Large 2BOX-L/XL-B 1 1733X Large/XX Large 2BOX-XL/2XL-B 1 1733XX Large/XXX Large 2BOX-2XL/3XL-B 1 1733

White Small/Medium 2BOX-S/M-W 1 1748Medium/Large 2BOX-M/L-W 1 1748Large/X Large 2BOX-L/XL-W 1 1748X Large/XX Large 2BOX-XL/2XL-W 1 1748XX Large/XXX Large 2BOX-2XL/3XL-W 1 1748

Ladies BriefBlack Small/Medium 2BRF-S/M-B 1 1733

Medium/Large 2BRF-M/L-B 1 1733Large/X Large 2BRF-L/XL-B 1 1733X Large/XX Large 2BRF-XL/2XL-B 1 1733XX Large/XXX Large 2BRF-2XL/3XL-B 1 1733

White Small/Medium 2BRF-S/M-W 1 1748Medium/Large 2BRF-M/L-W 1 1748Large/X Large 2BRF-L/XL-W 1 1748X Large/XX Large 2BRF-XL/2XL-W 1 1748XX Large/XXX Large 2BRF-2XL/3XL-W 1 1748

Comfizz Stoma WaistbandLevel I SupportBlack Small/Medium WBS/M 1 720Neutral WNS/M 1 720White WWS/M 1 720Black Medium/Large WBM/L 1 720Neutral WNM/L 1 720White WWM/L 1 720Black Large/X Large WBL/XL 1 720Neutral WNL/XL 1 720White WWL/XL 1 720Black X Large/XX Large WBXL/2XL 1 720Neutral WNXL/2XL 1 720White WWXL/2XL 1 720Black XX Large/XXX Large WB2XL/3XL 1 720Neutral WN2XL/3XL 1 720White WW2XL/3XL 1 720

JuniorBlack X Small WBJXS 1 720Neutral WNJXS 1 720White WWJXS 1 720Black Small WBJS 1 720Neutral WNJS 1 720White WWJS 1 720

652

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Kavendor Ltd Black Medium WBJM 1 720Neutral WNJM 1 720White WWJM 1 720Black Large WBJL 1 720Neutral WNJL 1 720White WWJL 1 720

Level II SupportNeutral Small/Medium 2WNS/M 1 1850

Medium/Large 2WNM/L 1 1850Large/X Large 2WNL/XL 1 1850X Large/XX Large 2WNXL/2XL 1 1850XX Large/XXX Large 2WN2XL/3XL 1 1850

Comfizz Support Belt Level III60mmNeutral Medium WNM-L3-60/15 1 5654

Large WNL-L3-60/15 1 5654X Large WNXL-L3-60/15 1 5654XX Large WN2XL-L3-60/15 1 5654XXX Large WN3XL-L3-60/15 1 5654XXXX Large WN4XL-L3-60/15 1 5654

72mmNeutral Medium WNM-L3-72/15 1 5654

Large WNL-L3-72/15 1 5654X Large WNXL-L3-72/15 1 5654XX Large WN2XL-L3-72/15 1 5654XXX Large WN3XL-L3-72/15 1 5654XXXX Large WN4XL-L3-72/15 1 5654

85mmNeutral Medium WNM-L3-85/15 1 5654

Large WNL-L3-85/15 1 5654X Large WNXL-L3-85/15 1 5654XX Large WN2XL-L3-85/15 1 5654XXX Large WN3XL-L3-85/15 1 5654XXXX Large WN4XL-L3-85/15 1 5654

Comfizz Support Belt Level III Easy Cut15cm depth Medium WGM-L3-0/15-EC 1 5654

Large WGL-L3-0/15-EC 1 5654X Large WGXL-L3-0/15-EC 1 5654XX Large WG2XL-L3-0/15-EC 1 5654XXX Large WG3XL-L3-0/15-EC 1 5654XXXX Large WG4XL-L3-0/15-EC 1 5654

22.5cm depth Medium WGM-L3-0/22.5-EC-L 1 7020Large WGL-L3-0/22.5-EC-L 1 7020X Large WGXL-L3-0/22.5-EC-L 1 7020XX Large WG2XL-L3-0/22.5-EC-L 1 7020XXX Large WG3XL-L3-0/22.5-EC-L 1 7020XXXX Large WG4XL-L3-0/22.5-EC-L 1 7020

22.5cm depth Medium WGM-L3-0/22.5-EC-R 1 7020Large WGL-L3-0/22.5-EC-R 1 7020X Large WGXL-L3-0/22.5-EC-R 1 7020XX Large WG2XL-L3-0/22.5-EC-R 1 7020XXX Large WG3XL-L3-0/22.5-EC-R 1 7020XXXX Large WG4XL-L3-0/22.5-EC-R 1 7020

Manufacturer Appliance Order No. Quantity List Price p

653

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price pKavendor Ltd Comfizz Shallow Support Belt Level III

60mmWhite Medium WWM-L3-60/10 1 5606

Large WWL-L3-60/10 1 5606X Large WWXL-L3-60/10 1 5606XX Large WW2XL-L3-60/10 1 5606XXX Large WW3XL-L3-60/10 1 5606XXXX Large WW4XL-L3-60/10 1 5606

72mmWhite Medium WWM-L3-72/10 1 5606

Large WWL-L3-72/10 1 5606X Large WWXL-L3-72/10 1 5606XX Large WW2XL-L3-72/10 1 5606XXX Large WW3XL-L3-72/10 1 5606XXXX Large WW4XL-L3-72/10 1 5606

Comfizz Multisupport Belt Level III Support15cm depthWhite Medium (80-89cm) WWM-L3-0/15 1 5606

Large (90-99cm) WWL-L3-0/15 1 5606X Large (100-109cm) WWXL-L3-0/15 1 5606XX Large (110-120cm) WW2XL-L3-0/15 1 5606XXX Large (121-130cm) WW3XL-L3-0/15 1 5606XXXX Large (131-140cm) WW4XL-L3-0/15 1 5606

Comfizz Two Part Support Belt Level III60mmSlate Medium WSM-L3-60/17(TP) 1 7488

Large WSL-L3-60/17(TP) 1 7488X Large WSXL-L3-60/17(TP) 1 7488XX Large WS2XL-L3-60/17(TP) 1 7488XXX Large WS3XL-L3-60/17(TP) 1 7488XXXX Large WS4XL-L3-60/17(TP) 1 7488

75mmSlate Medium WSM-L3-75/17(TP) 1 7488

Large WSL-L3-75/17(TP) 1 7488X Large WSXL-L3-75/17(TP) 1 7488XX Large WS2XL-L3-75/17(TP) 1 7488XXX Large WS3XL-L3-75/17(TP) 1 7488XXXX Large WS4XL-L3-75/17(TP) 1 7488

90mmSlate Medium WSM-L3-90/17(TP) 1 7488

Large WSL-L3-90/17(TP) 1 7488X Large WSXL-L3-90/17(TP) 1 7488XX Large WS2XL-L3-90/17(TP) 1 7488XXX Large WS3XL-L3-90/17(TP) 1 7488XXXX Large WS4XL-L3-90/17(TP) 1 7488

Comfizz Two Part Support Belt Level III Front60mm aperture CBPAD-Jet-60 1 127575mm aperture CBPAD-Jet-75 1 127590mm aperture CBPAD-Jet-90 1 1275

Marlen Healthcare Ltd

Adjustable Elastic Waist Belt 5004 1 270

UltraMax SkinTone Ostomy Belt 5005 1 649

654

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

Nu-HopeLaboratories

Nu-Hope Support Belts (The standard opening is 60mm; the following alternative size and shape openings areavailable by adding the appropriate suffix to the order code 50mm-E, 56mm-F, 63mm-G,68mm-A, 72mm-DC, 75mm-B, 80mm-C, Med Oval-H, Large Oval-J, Ex Large Oval-K) 75mm wide

Small (70-78cm) 6400 1 3472Medium (80-88cm) 6401 1 3472Large (90-100cm) 6402 1 3472X-Large (103-115cm) 6403 1 3613XX-Large (118-130cm) 6404 1 3613

100mm wideSmall (70-78cm) 6410 1 4325Medium (80-88cm) 6411 1 4325Large (90-100cm) 6412 1 4325X-Large (103-115cm) 6413 1 4502XX-Large (118-130cm) 6414 1 4502

125mm wideSmall (70-78cm) 6420 1 5144Medium (80-88cm) 6421 1 5144Large (90-100cm) 6422 1 5144X-Large (103-115cm) 6423 1 5353XX-Large (118-130cm) 6424 1 5353

150mm wideSmall (70-78cm) 6430 1 5960Medium (80-88cm) 6431 1 5960Large (90-100cm) 6432 1 5960X-Large (103-115cm) 6433 1 6201XX-Large (118-130cm) 6434 1 6201

175mm wide (left)Small (70-78cm) 6440 1 6875Medium (80-88cm) 6441 1 6875Large (90-100cm) 6442 1 6875X-Large (103-115cm) 6443 1 7148XX-Large (118-130cm) 6444 1 7148

175mm wide (right)Small (70-78cm) 6445 1 6875Medium (80-88cm) 6446 1 6875Large (90-100cm) 6447 1 6875X-Large (103-115cm) 6448 1 7148XX-Large (118-130cm) 6449 1 7148

655

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Nu-HopeLaboratories

200mm wide (left)Small (70-78cm) 6450 1 7801Medium (80-88cm) 6451 1 7801Large (90-100cm) 6452 1 7801X-Large (103-115cm) 6453 1 8117XX-Large (118-130cm) 6454 1 8117

200mm wide (right)Small (70-78cm) 6455 1 7801Medium (80-88cm) 6456 1 7801Large (90-100cm) 6457 1 7801X-Large (103-115cm) 6458 1 8117XX-Large (118-130cm) 6459 1 8117

225mm wide (left)Small (70-78cm) 6460 1 7976Medium (80-88cm) 6461 1 7976Large (90-100cm) 6462 1 7976X-Large (103-115cm) 6463 1 8131XX-Large (118-130cm) 6464 1 8131

225mm wide (right)Small (70-78cm) 6465 1 7976Medium (80-88cm) 6466 1 7976Large (90-100cm) 6467 1 7976X-Large (103-115cm) 6468 1 8131XX-Large (118-130cm) 6469 1 8131

Prolapse Overbelt P 1 1244

Oakmed Ltd Adjustable Ostomy Belt100cm OCB02 1 782

Made to Measure Ostomy Belt B100 1 7679Made to Measure Pantie Girdle P200 1 4981Made to Measure Ostomy Girdle G300 1 4981

Omex Medical Ltd Schacht Belt 91.5cm 780251 1 525

Orthotic Services Ltd

Made to Measure Ostomy Girdle in white -hole or panel over stoma as required; zips and suspenders as standard

OSL-012 1 3131

(A measuring chart is available on application)

Manufacturer Appliance Order No. Quantity List Price p

656

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd Combimate Adjustable Elastic Ostomy Belt25mm wide SB25 1 82250mm wide with 2-point belt lug connection

SB52 1 1225

EuroTec Adjustable Elastic Ostomy Belt50mm wide

Small (60-75cm) SB 50 S 1 1226Medium (75-90cm) SB 50 M 1 1226Large (90-110cm) SB 50 L 1 1226X Large (110-130cm) SB 50 XL 1 1226XX Large (130cm and above) SB 50 XXL 1 1226

Pelican Healthcare Ltd

Eakin Stoma Support Belt with IsoFlex20cm depth

Small (75-90cm) 839051 1 5068Medium (90-105cm) 839052 1 5068Large (105-120cm) 839053 1 5068X Large (120-135cm) 839054 1 5068

26cm depthSmall (75-90cm) 839061 1 5631Medium (90-105cm) 839062 1 5631Large (105-120cm) 839063 1 5631X Large (120-135cm) 839064 1 5631

Pelican Adjustable Ostomy Belt 133006 1 798

Pelican Support Stoma WaistbandWhite Small/Medium (85-110cm) 130560 1 1856

Medium/Large (105-125cm) 130562 1 1856Large/X Large (120-140cm) 130564 1 1856

Beige Small/Medium (85-110cm) 130561 1 1856Medium/Large (105-125cm) 130563 1 1856Large/X Large (120-140cm) 130565 1 1856

Black Small/Medium (85-110cm) 130566 1 1835Medium/Large (105-125cm) 130567 1 1835Large/X Large (120-140cm) 130568 1 1835

657

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pRespond Healthcare Ltd

OstoMart Cool Comfort Unisex Light Control Support GarmentBelt

Black Small/Medium CCWBB1S 1 726Large/XLarge CCWBB1L 1 726XXLarge/XXXLarge CCWBB12X 1 726

Nude Small/Medium CCWBN1S 1 726Large/XLarge CCWBN1L 1 726XXLarge/XXXLarge CCWBN12X 1 726

White Small/Medium CCWBW1S 1 726Large/XLarge CCWBW1L 1 726XXLarge/XXXLarge CCWBW12X 1 726

BriefBlack Small/Medium CCPBB1S 1 1234

Large/XLarge CCPBB1L 1 1234XXLarge/XXXLarge CCPBB12X 1 1234

Nude Small/Medium CCPBN1S 1 1234Large/XLarge CCPBN1L 1 1234XXLarge/XXXLarge CCPBN12X 1 1234

White Small/Medium CCPBW1S 1 1234Large/XLarge CCPBW1L 1 1234XXLarge/XXXLarge CCPBW12X 1 1234

BoxerBlack Small/Medium CCBXB1S 1 1161

Large/XLarge CCBXB1L 1 1161XXLarge/XXXLarge CCBXB12X 1 1161

Nude Small/Medium CCBXN1S 1 1161Large/XLarge CCBXN1L 1 1161XXLarge/XXXLarge CCBXN12X 1 1161

White Small/Medium CCBXW1S 1 1161Large/XLarge CCBXW1L 1 1161XXLarge/XXXLarge CCBXW12X 1 1161

HiLINE Activ Medium Level Hernia Support BeltSmall, Medium, Large, X Large, XX LargeLeft Side StomaFlange Diameter

57mm-70mm Res 9al 1 575170mm-82mm Res 9bl 1 5751Bespoke Res 9cl 1 6274

Right Side StomaFlange Diameter

57mm-70mm Res 9ar 1 575170mm-82mm Res 9br 1 5751Bespoke Res 9cr 1 6274

HiLINE Breathable Stretch Unisex Ostomy Belt 21cm deepSmall, Medium, Large, X Large, XX Large With hole over stoma if required

Res 6 1 3237

658

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price pRespond Healthcare Ltd

HiLINE Breathable Stretch Unisex Ostomy Belt 18cm deepSmall, Medium, Large, X Large, XX Large With hole over stoma if required

Res 6a 1 2882

HiLINE Breathable Stretch Unisex Ostomy Belt 13.5cm deepSmall, Medium, Large, X Large, XX Large With hole over stoma if required

Res 6b 1 2624

HiLINE EZ-Wrap Unisex Hernia Support BeltSmall, Medium, Large, X Large, XX Large

15cm depth Res 11b 1 466620cm depth Res 11a 1 497726cm depth Res 11 1 5288

with customised hole15cm depth Res 11bh 1 518420cm depth Res 11ah 1 549526cm depth Res 11h 1 5806

HiLINE Lightweight Support Belt 13cm wideSmall, Medium, Large, X Large, XX Large Velcro Fastening With hole over stoma

Res 3 1 2942

HiLINE Lightweight Support Belt (long) 21cm wideSmall, Medium, Large, X Large, XX Large Velcro Fastening With hole over stoma

Res 4 1 3414

HiLINE Medium control Ostomy Girdle/Pantie Brief including hole over stomaRes 2 1 4589

HiLINE Ostomy Girdle/Pantie Brief including hole over stomaRes 1 1 4669

HiLINE Seamless Two Way Stretch Unisex Colostomy Belt 26cm DeepSmall, Medium, Large, X Large, XX Large Res 7 1 2430

HiLINE Seamless Two Way Stretch Unisex Colostomy Belt 27cm and aboveSmall, Medium, Large, X Large, XX Large Res 8 1 2719

OstoMart Ostoshield(belt required) Res50 1 730

OstoMart Ostoshield Belt Small/Mediumonly for use with Res 50 - Ostoshield Res40 1 377

OstoMart Ostoshield Belt Large/Extra Largeonly for use with Res 50 - Ostoshield Res45 1 377

E Sallis Ltd Colostomy Belt forNight use 14b 1 1178

14c 1 614Day use 15a 1 3244

Ostomy Girdle/Pantie Brief including hole over stoma, with suspenders as required

Made in elastane Fit 15c 1 4109

659

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Belts

Manufacturer Appliance Order No. Quantity List Price pSaltsHealthcare

Confidence BE Adjustable Ostomy BeltBlack 100cm BB01B 1 800Stone 100cm BB01ST 1 800White 100cm BB01W 1 800

Salts Adjustable Ostomy BeltBeige 100cm ABO1 1 800Beige 122cm ABO2 1 800

25mm Single Elastic Belt with 2 loops:Standard 89cm long 877002 1 422Ex-large 107cm long 877024 1 422

102mm Elastic Belt with waterproof panel 877008 1 1731With 4 loops & retaining ring 877009 1 2276

Button & Loop Belt 877012 1 422

Baby Lycra Belt With Velcro FasteningStandard 89cm long 877022 1 430Ex-large 107cm long 877023 1 430

150mm Elastic Belt with Waterproof Panel 877017 1 2109Colostomy Belt 877018 1 8671

Salts Support WearLadies BriefBlack Extra Small BRFBXS 1 1303

Small/Medium BRFBSM 1 1303Medium/Large BRFBML 1 1303Large/X Large BRFBLXL 1 1303XX Large BRFBXXL 1 1303

Nude Extra Small BRFNXS 1 1303Small/Medium BRFNSM 1 1303Medium/Large BRFNML 1 1303Large/X Large BRFNLXL 1 1303XX Large BRFNXXL 1 1303

White Extra Small BRFWXS 1 1303Small/Medium BRFWSM 1 1303Medium/Large BRFWML 1 1303Large/X Large BRFWLXL 1 1303XX Large BRFWXXL 1 1303

Unisex BoxerBlack Extra Small BOXBXS 1 1303

Small/Medium BOXBSM 1 1303Medium/Large BOXBML 1 1303Large/X Large BOXBLXL 1 1303XX Large BOXBXXL 1 1303

Nude Extra Small BOXNXS 1 1303Small/Medium BOXNSM 1 1303Medium/Large BOXNML 1 1303Large/X Large BOXNLXL 1 1303XX Large BOXNXXL 1 1303

White Extra Small BOXWXS 1 1303Small/Medium BOXWSM 1 1303Medium/Large BOXWML 1 1303Large/X Large BOXWLXL 1 1303XX Large BOXWXXL 1 1303

660

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price pSASH Made to Measure 50mm polyester webbing Stoma Hernia Support Belt attached to plastic

flange with hole over stomaSash Ostomy Hernia Belt HB102 1 5414Security and Leakage Belt SR103 1 2551(For items above, patients are required to complete an Order Form obtainable from Stoma Care Nurses or SASH (Address: Woodhouse, Woodside Road, Hockley, Essex, SS5 4RU Tel01702 206 502) detailing waist size and enclosing a sample of pouch used so that the holewithin the belt flange can be customised to fit individual requirements)

T J Shannon Ltd Elastic Belt (with button & buckle fastening) TJS 962d 1 484

Vanilla Blush Vanilla Blush Hernia Support Coresitwell BeltLevel 3 Support

Small (up to 85cm) VBCSW1 1 6000Medium (85cm-95cm) VBCSW2 1 6000Large (95cm-115cm) VBCSW3 1 6000X Large (115cm-135cm) VBCSW4 1 6000XX Large (135cm-148cm) VBCSW5 1 6000XXX Large (148cm-170cm) VBCSW6 1 6000

Vanilla Blush Hernia Support GirdleLevel 2/3 SupportLadies BriefsBlack Medium (52cm) VBSLB2 1 4000

Large (56cm) VBSLB3 1 4000X Large (60cm) VBSLB4 1 4000XX Large (64cm) VBSLB5 1 4000XXX Large (68cm) VBSLB6 1 4000XXXX Large (72cm) VBSLB7 1 4000XXXXX Large (76cm) VBSLB8 1 4000

White Medium (52cm) VBSLW2 1 4000Large (56cm) VBSLW3 1 4000X Large (60cm) VBSLW4 1 4000XX Large (64cm) VBSLW5 1 4000XXX Large (68cm) VBSLW6 1 4000XXXX Large (72cm) VBSLW7 1 4000XXXXX Large (76cm) VBSLW8 1 4000

Ladies Briefs with LegsBlack Medium (52cm) VBSKB2 1 4000

Large (56cm) VBSKB3 1 4000X Large (60cm) VBSKB4 1 4000XX Large (64cm) VBSKB5 1 4000XXX Large (68cm) VBSKB6 1 4000XXXX Large (72cm) VBSKB7 1 4000XXXXX Large (76cm) VBSKB8 1 4000

White Medium (52cm) VBSKW2 1 4000Large (56cm) VBSKW3 1 4000X Large (60cm) VBSKW4 1 4000XX Large (64cm) VBSKW5 1 4000XXX Large (68cm) VBSKW6 1 4000XXXX Large (72cm) VBSKW7 1 4000XXXXX Large (76cm) VBSKW8 1 4000

661

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

Vanilla Blush Male BriefsBlack Medium (66cm) VBSPB2 1 4000

Large (70cm) VBSPB3 1 4000X Large (74cm) VBSPB4 1 4000XX Large (78cm) VBSPB5 1 4000XXX Large (82cm) VBSPB6 1 4000XXXX Large (86cm) VBSPB7 1 4000XXXXX Large (90cm) VBSPB8 1 4000

White Medium (66cm) VBSPW2 1 4000Large (70cm) VBSPW3 1 4000X Large (74cm) VBSPW4 1 4000XX Large (78cm) VBSPW5 1 4000XXX Large (82cm) VBSPW6 1 4000XXXX Large (86cm) VBSPW7 1 4000XXXXX Large (90cm) VBSPW8 1 4000

Male Briefs with LegsBlack Medium (66cm) VBSBB2 1 4000

Large (70cm) VBSBB3 1 4000X Large (74cm) VBSBB4 1 4000XX Large (78cm) VBSBB5 1 4000XXX Large (82cm) VBSBB6 1 4000XXXX Large (86cm) VBSBB7 1 4000XXXXX Large (90cm) VBSBB8 1 4000

White Medium (66cm) VBSBW2 1 4000Large (70cm) VBSBW3 1 4000X Large (74cm) VBSBW4 1 4000XX Large (78cm) VBSBW5 1 4000XXX Large (82cm) VBSBW6 1 4000XXXX Large (86cm) VBSBW7 1 4000XXXXX Large (90cm) VBSBW8 1 4000

Vanilla Blush Hernia Support GirdleLadies Pantie GirdleBlack Small (44cm) VBLPGB1 1 4000

Medium (48cm) VBLPGB2 1 4000Large (52cm) VBLPGB3 1 4000X Large (56cm) VBLPGB4 1 4000XX Large (60cm) VBLPGB5 1 4000XXX Large (64cm) VBLPGB6 1 4000XXXX Large (68cm) VBLPGB7 1 4000XXXXX Large (72cm) VBLPGB8 1 4000

White Small (44cm) VBLPGW1 1 4000Medium (48cm) VBLPGW2 1 4000Large (52cm) VBLPGW3 1 4000X Large (56cm) VBLPGW4 1 4000XX Large (60cm) VBLPGW5 1 4000XXX Large (64cm) VBLPGW6 1 4000XXXX Large (68cm) VBLPGW7 1 4000XXXXX Large (72cm) VBLPGW8 1 4000

662

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Vanilla Blush Vanilla Blush Hernia Support VestLevel 2/3 SupportLadiesBlack Small VBLVB1 1 3500

Medium VBLVB2 1 3500Large VBLVB3 1 3500X Large VBLVB4 1 3500XX Large VBLVB5 1 3500XXX Large VBLVB6 1 3500XXXX Large VBLVB7 1 3500XXXXX Large VBLVB8 1 3500

White Small VBLVW1 1 3500Medium VBLVW2 1 3500Large VBLVW3 1 3500X Large VBLVW4 1 3500XX Large VBLVW5 1 3500XXX Large VBLVW6 1 3500XXXX Large VBLVW7 1 3500XXXXX Large VBLVW8 1 3500

UnisexBlack Small VBMVB1 1 3500

Medium VBMVB2 1 3500Large VBMVB3 1 3500X Large VBMVB4 1 3500XX Large VBMVB5 1 3500XXX Large VBMVB6 1 3500XXXX Large VBMVB7 1 3500XXXXX Large VBMVB8 1 3500

White Small VBMVW1 1 3500Medium VBMVW2 1 3500Large VBMVW3 1 3500X Large VBMVW4 1 3500XX Large VBMVW5 1 3500XXX Large VBMVW6 1 3500XXXX Large VBMVW7 1 3500XXXXX Large VBMVW8 1 3500

Vanilla Blush Stoma Support PantsJunior Boys

3-4 years VBJBM1 3 27005-6 years VBJBM2 3 27007-8 years VBJBM3 3 27009-10 years VBJBM4 3 2700

Junior Girls3-4 years VBJGM1 3 27005-6 years VBJGM2 3 27007-8 years VBJGM3 3 27009-10 years VBJGM4 3 2700

Manufacturer Appliance Order No. Quantity List Price p

663

11/2019 Part IXCSTOMA APPLIANCES

BELTS

Manufacturer Appliance Order No. Quantity List Price p

Ward Surgical Appliance Co

Day Colostomy Belt made to measure All sizes 23 1 4116

Wide second stage rubberised ileostomy belt with2 straps, and buttonholed ends for use withileostomy boxes, or with celluloid hook ends for use with ileostomy bags

19 1 2415

As above - with under-straps or suspenders 20 1 2715

Fitting "windows" in belt for use with ileostomy bags or colostomy cups, or 4 stitched holes forstuds of colostomy cups or shields

35 1 438

Web and Elastic Belt with button and bucklefastening

25mm wide WM 25 1 783 51mm wide WM 51 1 1010 76mm wide WM 75 1 1147

Hookend Elastic Belt WM 86 1 1093Woven understraps with buttonhold ends 21 1 pair 304

WellandMedical Ltd

Welland FreeStyle Vie BeltWhite Standard BLTS01 1 769White Large BLTL01 1 769

Welland Universal Belt System. 5 Universal belt rings with 1 adjustable elasticated belt67mm belt ring BLT067 1 381873mm belt ring BLT073 1 375477mm belt ring BLT077 1 381882mm belt ring BLT082 1 381892mm belt ring BLT092 1 381898mm belt ring BLT098 1 3754

Universal Belt System Large (5 belt rings with 1 adjustable elasticated belt)67mm belt rings BLT167 1 381873mm belt ring BLT173 1 375477mm belt rings BLT177 1 381882mm belt rings BLT182 1 381892mm belt rings BLT192 1 381898mm belt ring BLT198 1 3754

664

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

All products in this category qualify for the stoma customisation fee.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical BiotrolElite bag with filter, skin protector adhesive, fabric backing

Beige 40mm 36-840 30 8507White 30mm 32-830 30 8507

Integrale bag with filter & skin protector adhesiveWhite 25mm 32-425 30 8507

Preference bag with filter, skin protector adhesive, fabric backingWhite starter hole 32-610 30 7952

Almarys Optima Closed bag with filter and all over soft non-woven cover Transparent starter hole 10mm F018610E 30 7064Beige starter hole 10mm F008610E 30 7064

25mm F008625E 30 706430mm F008630E 30 706435mm F008635E 30 706440mm F008640E 30 706445mm F008645E 30 706460mm F008660E 30 7064

Almarys Preference Closed bag with filter, skin protector and microporousadhesive and all over soft non-woven cover

Beige starter hole 10mm F008310E 30 7064

Almarys Quiet Closed bag with filter and all over soft non-woven cover Transparent starter hole 10mm F018110E 30 7064Beige starter hole 10mm F008110E 30 7064

Iryfix F00014E 15 3898

665

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical Softima closed pouch with filter, skin protector and protective coverBeigeCut-to-fit 16-50mm 043016E 30 8274

16-70mm 043070E 30 8274pre-cut 24mm 043024E 30 8274

28mm 043028E 30 827432mm 043032E 30 827436mm 043036E 30 827440mm 043040E 30 827445mm 043045E 30 8274

Transparentcut-to-fit 16-50mm 043616E 30 8274

16-70mm 043670E 30 8274

Softima Active closed pouch with filter and soft coverMini BeigeCut-to-fit 15-45mm 4610215E 30 8131

Midi BeigeCut-to-fit 15-50mm 4610115E 30 8131pre-cut 25mm 4610125E 30 8131

30mm 4610130E 30 813135mm 4610135E 30 813140mm 4610140E 30 813145mm 4610145E 30 8131

Midi TransparentCut-to-fit 15-50mm 4611115E 30 8131

Maxi BeigeCut-to-fit 15-65mm 4610380E 30 8131Maxi TransparentCut-to-fit 15-65mm 4611380E 30 8131

Softima Convex Closed pouch with filter and soft coverBeigecut-to-fit 15-35mm 43017E 10 2935

15-45mm 43018E 10 2935pre-cut P25mm 43026E 10 2935

30mm 43031E 10 293535mm 43037E 10 2935

P 40mm 43041E 10 2935Transparentcut-to-fit 15-35mm 43117E 10 2935

15-45mm 43118E 10 2935

Pto be deleted 1 January 2020

666

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pC S Bullen Ltd Shelter Closed Pouch Bio dressing resin

Beigecut-to-fit 13mm-80mm 2450/00 20 3842Clearcut-to-fit 13mm-64mm 2250/00 20 3842pre-cut 19mm 2250/19 20 3842

25mm 2250/25 20 384232mm 2250/32 20 384238mm 2250/38 20 384244mm 2250/44 20 384251mm 2250/51 20 384258mm 2250/58 20 384264mm 2250/64 20 3842

Shelter Closed Pouch microporous adhesiveBeigecut-to-fit 13mm-64mm 2240/00 20 2936pre-cut 19mm 2240/19 20 2936

25mm 2240/25 20 293632mm 2240/32 20 293638mm 2240/38 20 293644mm 2240/44 20 293651mm 2240/51 20 293658mm 2240/58 20 293664mm 2240/64 20 2936

Shelter Closed Pouch microporous adhesive, bio dressing resinClearcut-to-fit 13mm-64mm 2245/00 20 4002pre-cut 19mm 2245/19 20 4002

25mm 2245/25 20 400232mm 2245/32 20 400238mm 2245/38 20 400244mm 2245/44 20 400251mm 2245/51 20 400258mm 2245/58 20 400264mm 2245/64 20 4002

CliniSupplies Ltd ZenSiv 1-piece closed bag with window, vent and filterBeigecut-to-fit 10-60mm C1NB10V 20 3800pre-cut 25mm C1NB25V 20 5600

32mm C1NB32V 20 560038mm C1NB38V 20 5600

ZenSiv 1-piece closed bag with window and filterMini Beigecut-to-fit 10-50mm N1NB10 20 4000

667

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd Assura Closed Bag with Integral Filter and Soft BackingMini Opaquestarter hole 20mm 2421 30 6503ready-cut 25mm 2424 30 6503

30mm 2425 30 650335mm 2426 30 6503

Midi Clearstarter hole 20mm 2471 30 8114ready-cut 25mm 2474 30 8114

30mm 2475 30 811435mm 2476 30 811440mm 2477 30 8114

Midi Opaquestarter hole 20mm 2461 30 8114ready-cut 25mm 2464 30 8114

30mm 2465 30 811435mm 2466 30 811440mm 2467 30 811445mm 2468 30 8114

Maxi Clearstarter hole 20mm 2481 30 8114ready-cut 25mm 2484 30 8114

30mm 2485 30 811435mm 2486 30 811440mm 2487 30 811445mm 2488 30 811450mm 2489 30 8114

Maxi Opaquestarter hole 20mm 2511 30 8114ready-cut 25mm 2514 30 8114

30mm 2515 30 811435mm 2516 30 811440mm 2517 30 8114

Assura Conseal 1 Piece PlugLength Size 35mm stoma size 20-35mm 1435 10 2656

stoma size 35-45mm 1485 10 265645mm stoma size 20-35mm 1445 10 2656

stoma size 35-45mm 1495 10 2656

Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Soft Backing.Midi Transparentstarter hole 20-65mm 12130 30 8114ready-cut 25mm 12134 30 8114

30mm 12135 30 811435mm 12136 30 8114

Maxi Transparentstarter hole 20-75mm 12160 30 8114pre-cut 25mm 12164 30 7974

30mm 12165 30 797435mm 12166 30 7974

668

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Opaque Soft

Cover Front and Back.Midi Soft Coverstarter hole 20-65mm 12140 30 8114ready-cut 25mm 12144 30 8114

30mm 12145 30 811435mm 12146 30 811440mm 12147 30 811445mm 12148 30 811450mm 12149 30 8114

Maxi Soft Coverstarter hole 20-75mm 12170 30 8114pre-cut 25mm 12174 30 7974

30mm 12175 30 797435mm 12176 30 7974

Assura Inspire Closed Bag with Integral Filter, Oval Adhesive and Soft Cover Front and Back.

Midi Designstarter hole 20-65mm 12150 30 8114ready-cut 25mm 12154 30 8114

30mm 12155 30 811435mm 12156 30 811440mm 12157 30 811445mm 12158 30 8114

Maxi Designstarter hole 20-75mm 12180 30 8114pre-cut 35mm 12186 30 7974

Closed Bag with Integral Filter and Soft Cover front and backMini Soft Cover starter hole 20-65mm 12110 30 6466

Mini Designstarter hole 20-65mm 12120 30 6466

Assura Inspire 1 Piece Closed Bags with Dual FilterMidi Design - starter hole 20-65mm 14505 30 8742Soft cover - starter hole 20-65mm 14504 30 8742Maxi Design - starter hole 20-75mm 14508 30 8742Soft cover - starter hole 20-75mm 14507 30 8742Transparent - starter hole 20-75mm 14506 30 8742

Assura Inspire Seal 1 Piece Integral Convexity Closed Bags with Integral Filterand Soft Backing

Midi Transparentstarter hole 15-33mm 14092 10 2921

15-43mm 14093 10 2921

Maxi Transparentstarter hole 15-33mm 14002 10 2921

15-43mm 14003 10 2921

669

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd Assura Inspire Seal 1 Piece Integral Convexity Closed Bags with Integral Filter

and Opaque Soft Cover Front and BackMidi Soft Cover

starter hole 15-33mm 14095 10 292115-43mm 14096 10 2921

Maxi Soft Coverstarter hole 15-33mm 14005 10 2921

15-43mm 14006 10 2921

Assura Inspire Soft Seal 1 piece Closed Bags with Shallow convexityMidi Soft Cover

starter hole 15-33mm 14434 10 2982starter hole 15-43mm 14435 10 2982

Midi Soft Cover 21mm 14451 10 298225mm 14452 10 298228mm 14453 10 298231mm 14454 10 2982

Maxi Soft Coverstarter hole 15-33mm 14444 10 2982starter hole 15-43mm 14445 10 2982

Midi Transparentstarter hole 15-33mm 14431 10 2982starter hole 15-43mm 14432 10 2982

Maxi Transparentstarter hole 15-33mm 14441 10 2982starter hole 15-43mm 14442 10 2982

Assura Seal Integral Convexity Closed Bags with Filter and Soft BackingMidi Clear

25mm 12864 10 2656Midi Opaque

starter hole 15-43mm 12563 10 2656Maxi Clear

25mm 12884 10 265628mm 12885 10 2656

Maxi Opaquestarter hole 15-43mm 12573 10 2656

SenSura 1-piece Closed BagsMini Soft Cover

cut-to-fit 10-55/66mm 15620 30 9020Midi Soft Cover

cut-to-fit 10-55/66mm 15650 30 9020pre-cut 25mm 15652 30 9020

30mm 15653 30 902035mm 15654 30 902040mm 15655 30 902045mm 15656 30 902050mm 15657 30 9020

Midi Transparentcut-to-fit 10-55/66mm 15640 30 9020

Maxi Soft Covercut-to-fit 10-65/76mm 15680 30 9020pre-cut 25mm 15682 30 9020

30mm 15683 30 902035mm 15684 30 9020

Maxi Transparentcut-to-fit 10-65/76mm 15670 30 9020

670

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio 1-piece Closed Bags with full-circle filterMini Neutral Grey with window

cut-to-fit 15-45mm 10670 30 9020Midi Neutral Grey with window

cut-to-fit 15-45mm 10671 30 9020pre-cut 25mm 10672 30 9020

30mm 10673 30 902035mm 10674 30 9020

Maxi Neutral Grey with windowcut-to-fit 15-45mm 10681 30 9020pre-cut 30mm 10683 30 9020

35mm 10684 30 902040mm 10685 30 9020

Maxi Transparentcut-to-fit 15-55mm 10691 30 9020

SenSura Mio 1-piece closed bags with integral soft convexity, BodyFit Technologyand full-circle filterMidi Neutral Grey with window

starter hole 15-33mm 16501 10 3365Maxi Neutral Grey with window

starter hole 15-33mm 16505 10 336510-50mm 16506 10 3365

pre-cut 25mm (cuts to 33mm) 16510 10 336528mm (cuts to 33mm) 16511 10 336531mm (cuts to 50mm) 16512 10 336535mm (cuts to 50mm) 16513 10 3365

SenSura Mio 1-piece closed bags with integral light convexity, BodyFit Technologyand full-circle filterMidi Neutral Grey with window

starter hole 10-23mm 16521 10 336515-33mm 16522 10 336531-43mm 16523 10 3365

Maxi Neutral Grey with windowstarter hole 10-23mm 16525 10 3365

10-43mm 16532 10 337315-33mm 16526 10 336531-43mm 16527 10 3365

pre-cut 25mm (cuts to 33mm) 16530 10 336528mm (cuts to 33mm) 16531 10 3365

671

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio 1-piece closed bags with integral deep convexity, BodyFit Technology and full-circle filterMidi Neutral Grey with window

starter hole 10-23mm 16541 10 336515-33mm 16542 10 336531-43mm 16543 10 3365

Maxi Neutral Grey with windowstarter hole 10-23mm 16545 10 3365

10-43mm 16552 10 337315-33mm 16546 10 336531-43mm 16547 10 3365

SenSura Mio Concave 1-piece closed bags with BodyFit Technology and full-circle filterMini Neutral Grey with window

starter hole 10-40mm 18100 10 3344Midi Neutral Grey with window

starter hole 10-40mm 18101 10 334410-50mm 18110 10 3344

pre-cut 25mm 18111 10 334430mm 18112 10 3344

Maxi Neutral Grey with windowstarter hole 10-40mm 18102 10 3344

10-50mm 18120 10 334410-60mm 18130 10 3344

pre-cut 30mm 18122 10 334435mm 18123 10 334440mm 18131 10 3344

Maxi Transparentstarter hole 10-60mm 18135 10 3344

SenSura Mio Original 1-piece Closed BagsMini Split Soft Cover

starter hole 15-45mm 10611 30 8975Midi Split Soft Cover

starter hole 15-45mm 10621 30 8975pre-cut 25mm 10622 30 8975

30mm 10623 30 897535mm 10624 30 8975

Maxi Clearstarter hole 15-45mm 10661 30 8975

Maxi Split Soft Coverstarter hole 15-45mm 10631 30 8975

40-55mm 10635 30 8883pre-cut 30mm 10633 30 8975

35mm 10634 30 8975

672

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura One Piece Closed Split Film bag with Dual FilterMidi Soft Cover

cut-to-fit 10-66mm 15000 30 9020pre-cut 25mm 15001 30 9020

30mm 15002 30 902035mm 15003 30 9020

Maxi Soft Covercut-to-fit 10-76mm 15010 30 9020pre-cut 30mm 15011 30 9020

35mm 15012 30 9020

SenSura Soft Seal 1-piece closed bags with integral light convexityMidi Soft Cover

cut-to-fit 15-33mm 15303 10 336515-43mm 15304 10 3365

pre-cut 25mm 15313 10 336528mm 15314 10 336531mm 15315 10 3365

Maxi Soft Covercut-to-fit 15-33mm 15307 10 3365

15-43mm 15308 10 3365Maxi Transparent

cut-to-fit 15-33mm 15305 10 336515-43mm 15306 10 3365

SenSura Soft Seal One Piece Closed Split Film bag with Dual FilterMidi Soft Cover

cut-to-fit 15-33mm 15040 10 336515-43mm 15041 10 3365

pre-cut 25mm 15042 10 336531mm 15043 10 3365

Maxi Soft Covercut-to-fit 15-43mm 15051 10 3365

673

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd Colodress Plus (Stomahesive Wafer) Closed PouchesMini 19mm S901 30 7139

25mm S902 30 713932mm S903 30 713938mm S904 30 7139

Esteem+ Closed End PouchSmall- Opaquecut-to-fit 20-70mm 421816 30 8739pre-cut 25mm 421817 30 8743

30mm 421818 30 874335mm 421819 30 874340mm 421820 30 8739

Standard - Clearmould-to-fit 20mm-30mm 413509 30 8865

30mm-40mm 413510 30 8865Standard - Opaquecut-to-fit 20-70mm 421686 30 8739mould-to-fit 40-50mm 413511 30 8846pre-cut 25mm 421687 30 8743

30mm 421688 30 873940mm 421822 30 874350mm 421823 30 874360mm 421824 30 8743

Large - Opaquecut-to-fit 20-70mm 421825 30 8739pre-cut 25mm 421826 30 8743

30mm 421827 30 874335mm 421828 30 874340mm 421829 30 874350mm 421830 30 8743

Large - Clearcut-to-fit 20-70mm 421831 30 8743pre-cut 25mm 421832 30 8743

30mm 421833 30 874335mm 421834 30 874340mm 421835 30 874350mm 421836 30 8743

674

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd Esteem+ Closed Pouches with Integral filterStandard - opaquestarter hole 20mm-70mm 416701 30 8822pre-cut 25mm 416704 30 8822

30mm 416707 30 882235mm 416710 30 882240mm 416713 30 882250mm 416715 30 8822

Standard - clearstarter hole 20mm-70mm 416700 30 8822pre-cut 25mm 416703 30 8822

30mm 416706 30 882235mm 416709 30 882240mm 416712 30 8822

Esteem+ Flex Convex Closed PouchCut-to-fit 20mm-25mm 421614 30 9779

20mm-35mm 421613 30 977920mm-43mm S421612 30 977920mm-57mm 422158 30 9705

Esteem+ Soft Convex Closed PouchCut-to-fit 10mm-28mm 422362 30 9120

15mm-40mm 422361 30 912020mm-47mm 422360 30 9120

675

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac Light ConvexIntegral convexity closed bag with filter and soft cover front and backOpaquestarter hole 15-37mm 257-37 10 2572

15-46mm 257-46 10 2572Opaquepre-cut 20mm 257-20 10 2572

25mm 257-25 10 257230mm 257-30 10 257235mm 257-35 10 257240mm 257-40 10 2572

Clearstarter hole 15-37mm 258-37 10 2572

15-46mm 258-46 10 2572pre-cut 20mm 258-20 10 2572

25mm 258-25 10 257230mm 258-30 10 257235mm 258-35 10 257240mm 258-40 10 257245mm 258-45 10 2572

Dansac NovaOpaquestarter hole 20-60mm 801-20 30 7926pre-cut 25mm 801-25 30 7926

30mm 801-30 30 792635mm 801-35 30 792640mm 801-40 30 792645mm 801-45 30 792650mm 801-50 30 7926

Clearstarter hole 20-60mm 802-20 30 7926pre-cut 25mm 802-25 30 7837

30mm 802-30 30 783735mm 802-35 30 783740mm 802-40 30 783745mm 802-45 30 783750mm 802-50 30 7837

676

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac Nova 1 Convex with integral 6mm convexityOpaquecut-to-fit 15-24mm 831-24 10 2817

15-37mm 831-37 10 281715-46mm 831-46 10 2817

pre-cut 20mm 831-20 10 281725mm 831-25 10 281730mm 831-30 10 281735mm 831-35 10 281740mm 831-40 10 281745mm 831-45 10 2817

Clearcut-to-fit 15-24mm 832-24 10 2817

15-37mm 832-37 10 281715-46mm 832-46 10 2817

Dansac Nova 1 MaxiClosed pouch with a skin protecting barrierClearcut-to-fit 20-60mm 806-20 30 7860Opaquecut-to-fit 20-60mm 805-20 30 7860

Dansac Nova 1 Soft Convex with integral 5mm convexityOpaquepre-cut 25mm 871-25 10 2817

30mm 871-30 10 281735mm 871-35 10 2817

Dansac Nova 1 X3 ClosedClearcut-to-fit 15-46mm 852-15 10 2822Opaquecut-to-fit 15-46mm 851-15 10 2822pre-cut 25mm 851-25 10 2822

30mm 851-30 10 282235mm 851-35 10 282240mm 851-40 10 2822

Dansac Nova MiniOpaquestarter hole 20-50mm 803-20 30 6485pre-cut 25mm 803-25 30 6485

30mm 803-30 30 648535mm 803-35 30 648540mm 803-40 30 6485

677

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife 1 Closed PouchMidiClearcut-to-fit 10-55/70mm 902-10 30 8970

25-55/70mm 902-25 30 897030-55/70mm 902-30 30 897035-55/70mm 902-35 30 897040-55/70mm 902-40 30 897045-55/70mm 902-45 30 897050-55/70mm 902-50 30 8970

Opaquecut-to-fit 10-55/70mm 901-10 30 8970

25-55/70mm 901-25 30 897030-55/70mm 901-30 30 897035-55/70mm 901-35 30 897040-55/70mm 901-40 30 897045-55/70mm 901-45 30 897050-55/70mm 901-50 30 8970

MiniOpaque

cut-to-fit 10-38/50mm 903-10 30 897025-38/55mm 903-25 30 897030-38/55mm 903-30 30 897035-38/50mm 903-35 30 8970

MaxiClear

cut-to-fit 10-70/90mm 906-10 30 8970Opaque

cut-to-fit 10-70/90mm 905-10 30 897025-70/90mm 905-25 30 897030-70/90mm 905-30 30 897035-70/90mm 905-35 30 8970

Dansac NovaLife 1 Closed Soft Convex with viewing optionOpaqueMidicut-to-fit 15-24mm 971-24 10 3292

15-34mm 971-34 10 3292pre-cut 25mm 971-25 10 3292

30mm 971-30 10 329235mm 971-35 10 3292

Maxicut-to-fit 15-44mm 971-44 10 3292

15-54mm 971-54 10 3292pre-cut 40mm 971-40 10 3292

678

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife 1 Convex Closed PouchOpaqueMinicut-to-fit 10-24mm 931-24 10 3325

20-24mm 931-20 10 3325pre-cut 25mm 931-25 10 3325Midicut-to-fit 10-37mm 931-37 10 3325

10-46mm 931-46 10 332530-37mm 931-30 10 332540-46mm 931-40 10 3325

pre-cut 35mm 931-35 10 332545mm 931-45 10 3325

Maxicut-to-fit 10-59mm 931-59 10 3325

50-59mm 931-50 10 3325ClearMinicut-to-fit 10-24mm 932-24 10 3325

20-24mm 932-20 10 3325pre-cut 25mm 932-25 10 3325Midicut-to-fit 10-37mm 932-37 10 3325

10-46mm 932-46 10 332530-37mm 932-30 10 332540-46mm 932-40 10 3325

pre-cut 35mm 932-35 10 332545mm 932-45 10 3325

Dansac NovaLife 1 Convex Closed Pouch with Viewing OptionOpaqueMidicut-to-fit 10-24mm 9310-24 10 3282 K

10-37mm 9310-37 10 327710-46mm 9310-46 10 327720-24mm 9310-20 10 3282 K

30-37mm 9310-30 10 3282 K

40-46mm 9310-40 10 3282 K

pre-cut 25mm 9310-25 10 3282 K

35mm 9310-35 10 3282 K

45mm 9310-45 10 3282 K

Maxicut-to-fit 10-59mm 9310-59 10 3277

50-59mm 9310-50 10 3282 K

679

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife 1 Closed Pouch with Viewing OptionOpaqueMidicut-to-fit 10-55/70mm 9010-10 30 8842

25-55/70mm 9010-25 30 8854 K

30-55/70mm 9010-30 30 8854 K

35-55/70mm 9010-35 30 8854 K

40-55/70mm 9010-40 30 8854 K

45-55/70mm 9010-45 30 8854 K

50-55/70mm 9010-50 30 8854 K

Maxicut-to-fit 10-70/90mm 9050-10 30 8842

25-70/90mm 9050-25 30 8854 K

30-70/90mm 9050-30 30 8854 K

35-70/90mm 9050-35 30 8854 K

Dansac NovaLife Active Closed Clear

cut-to-fit 20-45mm 808-20 30 8668Opaque

cut-to-fit 20-45mm 807-20 30 866825-45mm 807-25 30 866830-45mm 807-30 30 866835-45mm 807-35 30 866840-45mm 807-40 30 8668

Dansac NovaLife TRE 1 closedMiniOpaquecut-to-fit 15-38/50mm 3003-15 30 8947MidiClearcut-to-fit 15-55/70mm 3002-15 30 8947MaxiClearcut-to-fit 15-55/70mm 3008-15 30 8947

15-70/90mm 3006-15 30 8947

680

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd with viewing optionMidicut-to-fit 15-55/70mm 3001-15 30 8947

25-55/70mm 3001-25 30 894730-55/70mm 3001-30 30 894735-55/70mm 3001-35 30 894740-55/70mm 3001-40 30 894745-55/70mm 3001-45 30 8947

Maxicut-to-fit 15-55/70mm 3007-15 30 8947

P 25-55/70mm 3007-25 30 8947P 30-55/70mm 3007-30 30 8947

15-70/90mm 3005-15 30 8947P 25-70/90mm 3005-25 30 8947P 30-70/90mm 3005-30 30 8947

Dansac NovaLife TRE 1 closed convexMiniClearcut-to-fit 15-24mm 3032-24 10 3340MidiClearcut-to-fit 15-37mm 3032-37 10 3340

15-46mm 3032-46 10 3340

with viewing optionMidicut-to-fit 15-24mm 3035-24 10 3340

15-37mm 3031-37 10 334015-46mm 3031-46 10 334030-37mm 3031-30 10 3340

pre-cut 25mm 3035-25 10 334035mm 3031-35 10 3340

Maxicut-to-fit 15-59mm 3031-59 10 3340

Pto be deleted 1 January 2020

681

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife TRE 1 Closed Soft Convex with viewing optionBeigeMidicut-to-fit 15-24mm 3071-24 10 3375

15-34mm 3071-34 10 3375pre-cut 25mm 3071-25 10 3375

30mm 3071-30 10 337535mm 3071-35 10 3375

Maxicut-to-fit 15-44mm 3071-44 10 3375

15-54mm 3071-54 10 3375pre-cut 40mm 3071-40 10 3375

Unique LightClosed pouchOpaque-soft lining on both sides, tapered barrier and fully activated filter

cut-to-fit 20-60mm 255-20 30 7538pre-cut 25mm 255-25 30 7538

30mm 255-30 30 753835mm 255-35 30 753840mm 255-40 30 753845mm 255-45 30 753850mm 255-50 30 753860mm 255-60 30 7538

682

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd Compact

Closed PouchBeige-with filter and beige comfort backing on both sidescut-to-fit 13-64mm 3470 30 7894pre-cut 25mm 3472 30 7894

32mm 3478 30 789438mm 3473 30 789444mm 3479 30 789451mm 3474 30 789464mm 3475 30 7894

Transparent - with filter and white comfort backing on body-worn sidecut-to-fit 13-64mm 3520 30 7894pre-cut 32mm 3528 30 7894

38mm 3523 30 789444mm 3529 30 789451mm 3524 30 7894

Impression "C" with convex wafer Beige with filter and beige Comfort backing onboth sides

19mm 3490 10 274722mm 3491 10 274725mm 3492 10 274729mm 3493 10 274732mm 3494 10 274735mm 3495 10 274738mm 3496 10 2747

Impression "C" with convex wafer, Transparent front with filter and beige Comfort backing on body worn side

22mm 3591 10 269725mm 3592 10 269729mm 3593 10 269732mm 3594 10 2697

X 35mm 3595 10 269738mm 3596 10 2697

Karaya 5 seal with microporous adhesive and filterTransparent

32mm 3328 30 838638mm 3323 30 838644mm 3329 30 838651mm 3324 30 838664mm 3325 30 838676mm 3326 30 8386

Karaya 5 seal without filterTransparent

32mm 7168 30 707338mm 7163 30 707344mm 7169 30 707351mm 7164 30 707364mm 7165 30 707376mm 7166 30 7073

Moderma FlexClosed Pouch with skin-resting barrier, filter and beige comfort backing on bodyworn side.Transparentstarter hole

15-55mm 22500 30 7324

Xto be deleted 1 December 2019

683

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Closed pouch with skin-resting barrier, filter and beige comfort backing on both sidesBeigestarter hole

15-55mm 22100 30 732420mm 22120 30 732425mm 22125 30 732430mm 22130 30 732435mm 22135 30 732440mm 22140 30 732445mm 22145 30 7324

Closed Pouch with SoftFlex skin barrier, Viewing Option and AF300 filterBeigecut-to-fitMidi 15-55mm 2214055 30 8326Maxi 15-55mm 2234055 30 8616Maxi Oval 15-65/75mm 2234001 30 8626

Maxi closed pouch with oval softflex barrierTransparent

15-65/75mm 22401 30 8108Beige

15-65/75mm 22301 30 8108

Maxi closed pouch with QuietWear film and with filterBeigecut-to-fit 15-55mm 42300 30 8717pre-cut 25mm 42325 30 8717

30mm 42330 30 871735mm 42335 30 8717

Maxi closed pouch with oval barrier, QuietWear film and with filterBeigecut-to-fit 15-65/75mm 42301 30 8725

Maxi closed pouch with skin-resting barrier, anatomical shape with integral filterand beige comfort backing on bodyworn side.Beige - with comfort backing on both sidescut-to-fit

15-55mm 22300 30 7771pre-cut 25mm 22325 30 7771

30mm 22330 30 777135mm 22335 30 7771

Transparent - with comfort backing on body side onlycut-to-fit

15-55mm 22400 30 7771

684

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Maxi closed pouch with transparent filmpre-cut 25mm 22425 30 8466

30mm 22430 30 846635mm 22435 30 846640mm 22440 30 8466

Midi closed pouch with QuietWear film and with filterBeigecut-to-fit 15-55mm 42100 30 8423pre-cut 20mm 42120 30 8423

25mm 42125 30 842330mm 42130 30 842335mm 42135 30 842340mm 42140 30 842345mm 42145 30 8423

Moderma Flex CeraPlusClosed Pouch with Viewing Option and AF300 filterMidi - Beigecut-to-fit 15-55mm 52100 30 8964pre-cut 25mm 52125 30 8964

30mm 52130 30 896435mm 52135 30 8964

Moderma Flex CeraPlus ConvexClosed Pouch with Viewing Option and AF300 filterMidi - Beigecut-to-fit 15-38mm 52600 30 10099

15-51mm 52601 30 10099pre-cut 25mm 52625 30 10099

30mm 52630 30 1009935mm 52635 30 10099

685

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd Moderma Flex Convex

Closed Pouch with integral convexity, anatomical shape, with integral filterMaxi - Beige with comfort backing on both sidescut-to-fit 15-38mm 22800 30 10094

15-51mm 22801 30 10094pre-cut 20mm 22820 30 10094

25mm 22825 30 1009430mm 22830 30 1009435mm 22835 30 10094

Maxi - Transparent with comfort backing on body worn sidecut-to-fit 15-38mm 22900 30 10094

15-51mm 22901 30 10094pre-cut 20mm 22920 30 10094

25mm 22925 30 1009430mm 22930 30 1009435mm 22935 30 10094

Closed Pouch with integral convexity, QuietWear film and integral filterMaxi - Beigecut-to-fit 15-38mm 42800 30 9921

15-51mm 42801 30 9921pre-cut 25mm 42825 30 9921

30mm 42830 30 992135mm 42835 30 9921

Closed Pouch with SoftFlex skin barrier, Viewing Option and AF300 filterMaxi - Beigecut-to-fit 15-38mm 2283038 30 9807

15-51mm 2283051 30 9807pre-cut 20mm 2283120 30 9807

25mm 2283125 30 980730mm 2283130 30 980735mm 2283135 30 9807

Moderma Flex Soft ConvexClosed Pouch with Viewing Option, SoftFlex skin barrier, integral convexity and AF300 filterMidi - Beigecut-to-fit 15-25mm 2261025 30 9988

15-38mm 2261038 30 998815-55mm 2261055 30 9988

pre-cut 20mm 2261120 30 998825mm 2261125 30 998830mm 2261130 30 998835mm 2261135 30 998840mm 2261140 30 9988

Maxi - Beigecut-to-fit 15-25mm 2281025 30 10038

15-38mm 2281038 30 1003815-55mm 2281055 30 10038

pre-cut 20mm 2281120 30 1003825mm 2281125 30 1003830mm 2281130 30 1003835mm 2281135 30 1003840mm 2281140 30 10038

Pouchkins Premie paediatriccut-to-fit

0-15mm 3777 15 3419

686

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pJade-Euro-Med Ltd Black Butyl Screw-cap outlet

Day bag KM 38 1 3484Night bag KM 40 1 4063

White Rubber Screw-cap outletDay bag KM 44 1 1936Night bag KM 46 1 2218

Marlen Healthcare Ltd

SuperFlat Closed Pouch with Split CoverBeigestarter hole

12mm-55mm 1834 30 7546

UltraLite Closed BagOpaque

Flat starter hole 801312 15 3068Transparent

Flat starter hole 861312 15 3068Flat pre-cut

Opaque12mm 801412 15 306816mm 801416 15 306819mm 801419 15 306822mm 801422 15 306825mm 801425 15 306829mm 801429 15 306832mm 801432 15 306834mm 801434 15 306838mm 801438 15 306841mm 801441 15 306844mm 801444 15 306848mm 801448 15 306850mm 801450 15 306854mm 801454 15 306857mm 801457 15 306860mm 801460 15 306863mm 801463 15 306867mm 801467 15 306870mm 801470 15 306873mm 801473 15 306876mm 801476 15 3068

Transparent12mm 861412 15 306816mm 861416 15 306819mm 861419 15 306822mm 861422 15 306825mm 861425 15 306829mm 861429 15 306832mm 861432 15 306834mm 861434 15 306838mm 861438 15 3068

41mm 861441 15 306844mm 861444 15 306848mm 861448 15 306850mm 861450 15 306854mm 861454 15 306857mm 861457 15 306860mm 861460 15 306863mm 861463 15 306867mm 861467 15 306870mm 861470 15 306873mm 861473 15 306876mm 861476 15 3068

687

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pMarlen HealthcareLtd

Shallow Convex pre-cutOpaque

12mm 801512 15 306816mm 801516 15 306819mm 801519 15 306822mm 801522 15 306825mm 801525 15 306829mm 801529 15 306832mm 801532 15 306834mm 801534 15 306838mm 801538 15 306841mm 801541 15 306844mm 801544 15 306848mm 801548 15 306850mm 801550 15 306854mm 801554 15 306857mm 801557 15 306860mm 801560 15 306863mm 801563 15 306867mm 801567 15 306870mm 801570 15 306873mm 801573 15 306876mm 801576 15 3068

Transparent12mm 861512 15 306816mm 861516 15 306819mm 861519 15 306822mm 861522 15 306825mm 861525 15 306829mm 861529 15 306832mm 861532 15 306834mm 861534 15 306838mm 861538 15 306841mm 861541 15 306844mm 861544 15 306848mm 861548 15 306850mm 861550 15 306854mm 861554 15 306857mm 861557 15 306860mm 861560 15 306863mm 861563 15 306867mm 861567 15 306870mm 861570 15 306873mm 861573 15 306876mm 861576 15 3068

688

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd

UltraLite Colostomy (Closed) Deep Convex PouchOpaquepre-cut 12mm 801612 10 2479

16mm 801616 10 247919mm 801619 10 247922mm 801622 10 247925mm 801625 10 247929mm 801629 10 247932mm 801632 10 247934mm 801634 10 247938mm 801638 10 247941mm 801641 10 247944mm 801644 10 2479

Transparentpre-cut 12mm 861612 10 2479

16mm 861616 10 247919mm 861619 10 247922mm 861622 10 247925mm 861625 10 247929mm 861629 10 247932mm 861632 10 247934mm 861634 10 247938mm 861638 10 247941mm 861641 10 247944mm 861644 10 2479

UltraMax Closed BagOpaque

Flat starter hole 83400 30 697912mm 83412 30 697916mm 83416 30 697919mm 83419 30 697922mm 83422 30 697925mm 83425 30 697929mm 83429 30 697932mm 83432 30 697934mm 83434 30 697938mm 83438 30 697941mm 83441 30 697944mm 83444 30 697950mm 83450 30 697955mm 83455 30 6979Convex starter hole 83500 10 247912mm 83512 10 247916mm 83516 10 247919mm 83519 10 247922mm 83522 10 247925mm 83525 10 247929mm 83529 10 247932mm 83532 10 247934mm 83534 10 247938mm 83538 10 2479

689

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd

TransparentFlat starter hole 82400 30 697912mm 82412 30 697916mm 82416 30 697919mm 82419 30 697922mm 82422 30 697925mm 82425 30 697929mm 82429 30 697932mm 82432 30 697934mm 82434 30 697938mm 82438 30 697941mm 82441 30 697944mm 82444 30 697950mm 82450 30 697955mm 82455 30 6979Convex starter hole 82500 10 247912mm 82512 10 247916mm 82516 10 247919mm 82519 10 247922mm 82522 10 247925mm 82525 10 247929mm 82529 10 247932mm 82532 10 247934mm 82534 10 247938mm 82538 10 2479

UltraMax Atlas Deep Convex Closed pouchClear with filter

12mm 82612 10 320019mm 82619 10 320022mm 82622 10 320025mm 82625 10 320032mm 82632 10 320038mm 82638 10 320045mm 82645 10 3200

Beige Split cover with filter12mm 83612 10 320019mm 83619 10 320022mm 83622 10 320025mm 83625 10 320032mm 83632 10 320038mm 83638 10 320045mm 83645 10 3200

UltraMax Plus Coveredcut-to-fit 12mm-80mm 8834 30 8500

690

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pOakmed Ltd Option - Bi-Form Colostomy Pouch with Window, Filter and Soft Covering to both

sidesOpaquestarter hole 20mm BF-0320K 30 8462pre-cut 25mm BF-0325K 30 8462

30mm BF-0330K 30 846235mm BF-0335K 30 846240mm BF-0340K 30 846245mm BF-0345K 30 8462

Option - Bi-Form Colostomy Plus Pouch with Window, Filter and Soft Covering to both sidesOpaquestarter hole 20mm BF-0420K 30 8573pre-cut 25mm BF-0425K 30 8573

30mm BF-0430K 30 857335mm BF-0435K 30 857340mm BF-0440K 30 857345mm BF-0445K 30 8573

Option - Colostomy with Filter and Soft Covering to both sidesOpaque starter hole

20mm 0320K 30 709925mm 0325K 30 709930mm 0330K 30 709935mm 0335K 30 709940mm 0340K 30 709945mm 0345K 30 709950mm 0350K 30 709955mm 0355K 30 709960mm 0360K 30 7099

Option - Colostomy with Soft Covering to one sideClearstarter hole

20mm 0120K 30 680525mm 0125K 30 680530mm 0130K 30 680535mm 0135K 30 680540mm 0140K 30 680545mm 0145K 30 680550mm 0150K 30 680555mm 0155K 30 680560mm 0160K 30 6805

Opaquestarter hole

20mm 0220K 30 680525mm 0225K 30 680530mm 0230K 30 680535mm 0235K 30 680540mm 0240K 30 680545mm 0245K 30 680550mm 0250K 30 680555mm 0255K 30 680560mm 0260K 30 6805

691

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Colostomy Maxi with Filter and Soft Covering to one sideClear

cut-to-fit 20mm-100mm 0720K 30 7705

Option - Colostomy Maxi with Filter and Soft Covering to both sidesOpaque

cut-to-fit 20mm-100mm 0820K 30 7862

Option - Colostomy Maxi with Filter and Soft Covering to both sides without windowOpaque

cut-to-fit 20mm-100mm 0820KWW 30 7725

Option - Colostomy MicroskinOpaque starter hole

20mm M-0320K 30 791625mm M-0325K 30 791630mm M-0330K 30 791635mm M-0335K 30 791640mm M-0340K 30 791645mm M-0345K 30 791650mm M-0350K 30 7916

Option - Colostomy Plus with Filter and Soft Covering to both sidesOpaque starter hole

20mm 0420K 30 727225mm 0425K 30 727230mm 0430K 30 727235mm 0435K 30 727240mm 0440K 30 727245mm 0445K 30 727250mm 0450K 30 727255mm 0455K 30 727260mm 0460K 30 7272

Option - Colostomy Plus with Soft Covering to one sideClear starter hole

20mm 0520K 30 697025mm 0525K 30 697030mm 0530K 30 697035mm 0535K 30 697040mm 0540K 30 697045mm 0545K 30 697050mm 0550K 30 697055mm 0555K 30 697060mm 0560K 30 6970

Opaque starter hole20mm 0620K 30 697025mm 0625K 30 697030mm 0630K 30 697035mm 0635K 30 697040mm 0640K 30 697045mm 0645K 30 697050mm 0650K 30 697055mm 0655K 30 697060mm 0660K 30 6970

692

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Colostomy Plus MicroskinOpaque starter hole

20mm M-0420K 30 802725mm M-0425K 30 802730mm M-0430K 30 802735mm M-0435K 30 802740mm M-0440K 30 802745mm M-0445K 30 802750mm M-0450K 30 8027

Option Hydrocolloid Low Profile Soft Convex Colostomy Plus28mm Plateaucut-to-fit 20-28mm LPSC28-0420K 20 6556pre-cut 25mm LPSC28-0425K 20 655640mm Plateaucut-to-fit 20-40mm LPSC40-0420K 20 6556pre-cut 25mm LPSC40-0425K 20 6556

30mm LPSC40-0430K 20 655635mm LPSC40-0435K 20 6556

47mm Plateaucut-to-fit 20-47mm LPSC47-0420K 20 6556pre-cut 25mm LPSC47-0425K 20 6556

30mm LPSC47-0430K 20 655635mm LPSC47-0435K 20 655640mm LPSC47-0440K 20 655645mm LPSC47-0445K 20 6556

Option - Mini Pouch with Filter and Soft Covering to both sidesOpaquecut-to-fit 10mm - 50mm 1110K 30 6279

Option - Mini Pouch with Soft Covering to one sidecut-to-fit 10mm-50mm

Clear 0910K 30 6161Opaque 1010K 30 6161

Option - Soft Convex Colostomy Plus25mm Plateaucut-to-fit 20-24mm SC25-0420K 20 660035mm Plateaucut-to-fit 20-34mm SC35-0420K 20 6600pre-cut 25mm SC35-0425K 20 6600

30mm SC35-0430K 20 660045mm Plateaucut-to-fit 20-44mm SC45-0420K 20 6600pre-cut 25mm SC45-0425K 20 6600

30mm SC45-0430K 20 660035mm SC45-0435K 20 660040mm SC45-0440K 20 6600

57mm Plateaucut-to-fit 20-57mm SC57-0420K 20 6603

693

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option Alginate closed mini pouch with window, filter and soft covering to bothsides

Opaquecut-to-fit 10mm - 50mm AHP11C10 30 8746pre-cut 15mm AHP11C15 30 8746

20mm AHP11C20 30 874625mm AHP11C25 30 874630mm AHP11C30 30 874635mm AHP11C35 30 874640mm AHP11C40 30 874645mm AHP11C45 30 874650mm AHP11C50 30 8746

Option Alginate Colostomy PlusOpaquestarter hole

20mm A-0420K 30 881825mm A-0425K 30 881830mm A-0430K 30 881835mm A-0435K 30 881840mm A-0440K 30 881845mm A-0445K 30 881850mm A-0450K 30 881855mm A-0455K 30 881860mm A-0460K 30 8818

Option Alginate Colostomy PouchOpaquestarter hole

20mm A-0320K 30 881825mm A-0325K 30 881830mm A-0330K 30 881835mm A-0335K 30 881840mm A-0340K 30 881845mm A-0345K 30 881850mm A-0350K 30 881855mm A-0355K 30 881860mm A-0360K 30 8818

Option Alginate Low Profile Soft Convex Colostomy Plus28mm Plateaucut-to-fit 20-28mm LPSCA28-0420K 20 6616pre-cut 25mm LPSCA28-0425K 20 661640mm Plateaucut-to-fit 20-40mm LPSCA40-0420K 20 6616pre-cut 25mm LPSCA40-0425K 20 6616

30mm LPSCA40-0430K 20 661635mm LPSCA40-0435K 20 6616

694

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd 47mm Plateaucut-to-fit 20-47mm LPSCA47-0420K 20 6616pre-cut 25mm LPSCA47-0425K 20 6616

30mm LPSCA47-0430K 20 661635mm LPSCA47-0435K 20 661640mm LPSCA47-0440K 20 661645mm LPSCA47-0445K 20 6616

Option Alginate Mini PouchOpaquestarter hole 20mm A-1110K 30 8818

Option Alginate Soft Convex Colostomy Plus25mm Plateaucut-to-fit 20-24mm SCA25-0420K 20 673435mm Plateaucut-to-fit 20-34mm SCA35-0420K 20 6734pre-cut 25mm SCA35-0425K 20 6734

30mm SCA35-0430K 20 673445mm Plateaucut-to-fit 20-44mm SCA45-0420K 20 6734pre-cut 25mm SCA45-0425K 20 6734

30mm SCA45-0430K 20 673435mm SCA45-0435K 20 673440mm SCA45-0440K 20 6734

Option Alginate Standard Closed Pouch with window, filter and soft covering toboth sides

Opaquecut-to-fit 20mm - 60mm AHP5C20 30 8746pre-cut 25mm AHP5C25 30 8746

30mm AHP5C30 30 874635mm AHP5C35 30 874640mm AHP5C40 30 874645mm AHP5C45 30 874650mm AHP5C50 30 874655mm AHP5C55 30 874660mm AHP5C60 30 8746

695

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option Primo Tapered Edge Closed PouchClearcut-to-fit 20mm-60mm HP5C20C 30 8709pre-cut 25mm HP5C25C 30 8709

30mm HP5C30C 30 870935mm HP5C35C 30 870940mm HP5C40C 30 870945mm HP5C45C 30 870950mm HP5C50C 30 870955mm HP5C55C 30 870960mm HP5C60C 30 8709

Option Primo Tapered Edge Closed Pouch, Filter, Soft Covering to both sidesOpaquecut-to-fit 20mm-60mm HP5C20 30 8800pre-cut 25mm HP5C25 30 8800

30mm HP5C30 30 880035mm HP5C35 30 880040mm HP5C40 30 880045mm HP5C45 30 880050mm HP5C50 30 880055mm HP5C55 30 880060mm HP5C60 30 8800

Option Primo Tapered Edge Maxi Closed Pouch, Filter, Soft Covering to oneside

Clearcut-to-fit 20mm-90mm HP7C20C 30 8946

Option Primo Tapered Edge Maxi Closed Pouch with window, Filter, SoftCovering to both sides

Opaquecut-to-fit 20mm-90mm HP8C20 30 8946

Option Primo Tapered Edge Mini Closed Pouch, filter, soft cover to one sideClearcut-to-fit 10mm-50mm HP9C10C 30 8709

Option Primo Tapered Edge Mini Closed Pouch, window, filter, soft cover to bothsides

Opaquecut-to-fit 10mm-50mm HP11C10 30 8709pre-cut 15mm HP11C15 30 8709

20mm HP11C20 30 870925mm HP11C25 30 870930mm HP11C30 30 870935mm HP11C35 30 870940mm HP11C40 30 870945mm HP11C45 30 870950mm HP11C50 30 8709

696

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd Colomate 1-piece closed oval soft convex pouch with split cover, 4-point belt lugs and high capacity bar filter

TransparentLargestarter hole 13-44x29mm CLTCO113-44 10 3260Extra Largestarter hole 13-54x37mm CLTCO113-54 10 3260

Colomate 1-piece closed soft convex pouch with split cover, 4-point belt lugs andhigh capacity bar filter

TransparentMedium/Largestarter hole 13-35mm CMLTC113-35 10 3292

13-44mm CMLTC113-44 10 3292pre-cut 22mm CMLTC122 10 3292

25mm CMLTC125 10 329228mm CMLTC128 10 329232mm CMLTC132 10 329235mm CMLTC135 10 329238mm CMLTC138 10 329241mm CMLTC141 10 3292

Largestarter hole 13-35mm CLTC113-35 10 3292

13-44mm CLTC113-44 10 3292pre-cut 25mm CLTC125 10 3292

28mm CLTC128 10 329232mm CLTC132 10 329235mm CLTC135 10 329238mm CLTC138 10 329241mm CLTC141 10 3292

Extra Largestarter hole 13-54mm CXLTC113-54 10 3276

697

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pPeak Medical Ltd Colomate Closed 1 piece pouch Beige non-woven front and back and high

capacity filterSmallstarter hole 10mm CSB110 30 7193Mediumstarter hole 13mm CMB113 30 8742pre-cut 25mm CMB125 30 8742

28mm CMB128 30 874232mm CMB132 30 874235mm CMB135 30 874238mm CMB138 30 874245mm CMB145 30 8742

Largestarter hole 13mm CLB113 30 8742pre-cut 25mm CLB125 30 8742

28mm CLB128 30 874232mm CLB132 30 874235mm CLB135 30 874238mm CLB138 30 874245mm CLB145 30 8742

Colomate Closed 1 piece pouch transparent with beige needle-pin overlap andhigh capacity filter

Largestarter hole 13mm CLT113 30 8742pre-cut 25mm CLT125 30 8742

28mm CLT128 30 874232mm CLT132 30 874235mm CLT135 30 874238mm CLT138 30 874245mm CLT145 30 8742

Colomate Closed 1 piece pouch, oval 70mm x 110mm hydrocolloid barrier,transparent with beige needle-pin overlap and high capacity filter

Extra Largestarter hole 10-110mm CXLT110 30 8705

Colomate Closed Anatomical 1 piece pouch Beige non-woven front and backand high capacity filter

Medium/Largestarter hole 13mm CMLB113 30 8742pre-cut 25mm CMLB125 30 8742

28mm CMLB128 30 874232mm CMLB132 30 874235mm CMLB135 30 874238mm CMLB138 30 874245mm CMLB145 30 8742

Colomate Closed Anatomical 1-piece pouch with beige needle-pin split coverand high capacity bar filter

TransparentMedium/Largestarter hole 13-60mm CMLT113 30 8642

698

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd Pelican Platinum Closed Pouch with skin protector, fabric both sides, split fabricbacking for viewing/positioning and filter

Opaque - Standardcut-to-fit 12-65mm 107312 30 8808

15-80mm 108315 30 8808pre-cut 22.5mm 107322 30 8808

25mm 107325 30 880827.5mm 107327 30 880830mm 107330 30 880832.5mm 107332 30 880835mm 107335 30 880837.5mm 107337 30 880840mm 107340 30 880845mm 107345 30 880850mm 107350 30 880855mm 107355 30 8808

Clear - Standardcut-to-fit 12-65mm 107412 30 8808

15-80mm 108415 30 8808pre-cut 22.5mm 107422 30 8808

25mm 107425 30 880827.5mm 107427 30 880830mm 107430 30 880832.5mm 107432 30 880835mm 107435 30 880837.5mm 107437 30 880840mm 107440 30 880845mm 107445 30 880850mm 107450 30 880855mm 107455 30 8808

Opaque - Minicut-to-fit 12-65mm 107112 30 8808Clear - Minicut-to-fit 12-65mm 107212 30 8808Opaque - Maxicut-to-fit 12-65mm 107512 30 8808Clear - Maxicut-to-fit 12-65mm 107612 30 8808

699

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd Pelican Platinum Contour Closed Pouch with soft foam backed contour skinprotector, fabric on both sides, split fabric backing for viewing/positioning andhydrophobic filter

Clear - Standardcut-to-fit 12-65mm 207412 30 8808

15-80mm 208415 30 8808pre-cut 22.5mm 207422 30 8808

25mm 207425 30 880827.5mm 207427 30 880830mm 207430 30 880832.5mm 207432 30 880835mm 207435 30 880837.5mm 207437 30 880840mm 207440 30 880845mm 207445 30 880850mm 207450 30 880855mm 207455 30 8808

Clear - Minicut-to-fit 12-65mm 207212 30 8808Clear - Maxicut-to-fit 12-65mm 207612 30 8808

Pelican Platinum Contour Convex closed pouch with soft foam backed convexcontour skin protector, fabric on both sides, split fabric backing for viewing/positioning and hydrophobic filter

Clear - Standardcut-to-fit 12-40mm 407412 10 3235

15-60mm 408415 10 3338pre-cut 20mm 407420 10 3235

25mm 407425 10 323530mm 407430 10 323535mm 407435 10 323540mm 407440 10 3235

Clear - Minicut-to-fit 12-40mm 407212 10 3235Clear - Maxicut-to-fit 12-40mm 407612 10 3235

700

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd Pelican Platinum Convex closed pouch with soft foam backed convex skinprotector, fabric on both sides, split fabric backing for viewing/positioning andhydrophobic filter

Clear - Standardcut-to-fit 12-40mm 307412 10 3235

15-60mm 308415 10 3338pre-cut 20mm 307420 10 3235

25mm 307425 10 323530mm 307430 10 323535mm 307435 10 323540mm 307440 10 3235

Clear - Minicut-to-fit 12-40mm 307212 10 3235Clear - Maxicut-to-fit 12-40mm 307612 10 3235

Pelican Platinum with Vitamin E Closed Pouch with soft foam backed contourskin protector containing Vitamin E, fabric on both sides, split fabric backing forviewing/positioning and hydrophobic filter

Clear - Minicut-to-fit 12-65mm 207212E 30 8888Clear - Standardcut-to-fit 12-65mm 207412E 30 8888Clear - Maxi cut-to-fit 12-65mm 207612E 30 8888Clear - Standardcut-to-fit 15-80mm 208415E 30 8888pre-cut 25mm 207425E 30 8888

30mm 207430E 30 888835mm 207435E 30 888840mm 207440E 30 888845mm 207445E 30 888850mm 207450E 30 8888

701

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Pelican Healthcare Ltd Pelican Platinum with Vitamin E Convex Closed Pouch with soft foam backedconvex skin protector containing Vitamin E, fabric on both sides, split fabricbacking for viewing/positioning and hydrophobic filter

Clear - Minicut-to-fit 12-40mm 407212E 10 3260Clear - Standardcut-to-fit 12-40mm 407412E 10 3260Clear - Maxicut-to-fit 12-40mm 407612E 10 3260Clear - Standardcut-to-fit 15-60mm 408415E 10 3336pre-cut 25mm 407425E 10 3260

30mm 407430E 10 326035mm 407435E 10 326040mm 407440E 10 3260

Pelican Selectwith skin protector,fabric both sides, filterClosed pouchesClearcut-to-fit 20-65mm 100700 30 7996pre-cut 27mm 101727 30 7996

34mm 101734 30 799641mm 101741 30 799648mm 101748 30 799655mm 101755 30 7996

Opaquecut-to-fit 20-65mm 100720 30 7996pre-cut 27mm 100727 30 7996

34mm 100734 30 799641mm 100741 30 799648mm 100748 30 799655mm 100755 30 7996

Mini Closed PouchesClear cut-to-fit

20-65mm 100600 30 6707Opaque cut-to-fit

20-65mm 100620 30 6707

Manufacturer Appliance Order No. Quantity List Price p

702

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd Pelican Select Afresh Closed Pouch with skin protector, fabric on both sides, split fabric backing for viewing/positioning and filter.

Opaque - Standardcut-to-fit 20-65mm 102120 30 7875pre-cut 22.5mm 102122 30 7875

25mm 102125 30 787527.5mm 102127 30 787530mm 102130 30 787532.5mm 102132 30 787535mm 102135 30 787537.5mm 102137 30 787540mm 102140 30 787545mm 102145 30 787550mm 102150 30 787555mm 102155 30 7875

Clear - Standardcut-to-fit 20-65mm 102220 30 7875pre-cut 22.5mm 102222 30 7875

25mm 102225 30 787527.5mm 102227 30 787530mm 102230 30 787532.5mm 102232 30 787535mm 102235 30 787537.5mm 102237 30 787540mm 102240 30 787545mm 102245 30 787550mm 102250 30 787555mm 102255 30 7875

Opaque - Minicut-to-fit 20-65mm 102320 30 7875pre-cut 22.5mm 102322 30 7875

25mm 102325 30 787527.5mm 102327 30 787530mm 102330 30 787532.5mm 102332 30 787535mm 102335 30 787537.5mm 102337 30 787540mm 102340 30 787545mm 102345 30 787550mm 102350 30 787555mm 102355 30 7875

Clear - Minicut-to-fit 20-65mm 102300 30 7875Opaque - Maxicut-to-fit 20-65mm 102420 30 7965Clear - Maxicut-to-fit 20-65mm 102400 30 7965

703

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd Pelican Select Closed Convex Pouch - integral convexity with filter and split

fabric backingOpaque - Standardcut-to-fit 12-40mm 103312 10 3027

15-60mm 104315 10 3278pre-cut 20mm 103320 10 3027

22.5mm 103322 10 302725mm 103325 10 302727.5mm 103327 10 302730mm 103330 10 302732.5mm 103332 10 302735mm 103335 10 302737.5mm 103337 10 302740mm 103340 10 3027

Clear - Standardcut-to-fit 12-40mm 103412 10 3027

15-60mm 104415 10 3278pre-cut 20mm 103420 10 3027

22.5mm 103422 10 302725mm 103425 10 302727.5mm 103427 10 302730mm 103430 10 302732.5mm 103432 10 302735mm 103435 10 302737.5mm 103437 10 302740mm 103440 10 3027

Opaque - Maxicut-to-fit 12-40mm 103512 10 3027pre-cut 20mm 103520 10 3027

22.5mm 103522 10 302725mm 103525 10 302727.5mm 103527 10 302730mm 103530 10 302732.5mm 103532 10 302735mm 103535 10 302737.5mm 103537 10 302740mm 103540 10 3027

Opaque - Minicut-to-fit 12-40mm 103112 10 3027Clear - Maxicut-to-fit 12-40mm 103612 10 3027

Paediatric pouch with soft convexity, split fabric backing, soft belt loops and plainfabric

Clearcut-to-fit 5-30mm 112711 10 2974

Paediatric pouch with soft convexity, split fabric backing, soft belt loops and teddybear print

Clearcut-to-fit 5-30mm 112709 10 3027

ProSys International Ltd

Independence Activity - 1 piece closed pouch with comfort flex hydrocolloid wafer

starter hole30mm AP1 30 8221

704

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Confidence BE

Closed pouches with soft water repellent cover on bodyside, hydrophobicprotected filter and dual thickness Flexifit wafer containing Aloe Vera extractsTransparent

Standardstarter holeStone 13-55mm BT13ST 30 8944

13-75mm BT1375ST 30 9015

Largestarter holeStone 13-55mm BLT13ST 30 8944

13-75mm BLT1375ST 30 9015

Closed pouches with soft water repellent cover on both sides, hydrophobicprotected filter and dual thickness Flexifit wafer containing Aloe Vera extractsOverlap

Ministarter holeBlack 13-55mm BM13B 30 8944Stone 13-55mm BM13ST 30 8944White 13-55mm BM13W 30 8944

Standardstarter holeBlack 13-55mm B13B 30 8944

13-75mm B1375B 30 9015Stone 13-55mm B13ST 30 8944

13-75mm B1375ST 30 9015White 13-55mm B13W 30 8944

13-75mm B1375W 30 9015

pre-cutBlack 25mm B25B 30 8944

28mm B28B 30 894432mm B32B 30 894435mm B35B 30 894438mm B38B 30 894441mm B41B 30 8944

Stone 25mm B25ST 30 894428mm B28ST 30 894432mm B32ST 30 894435mm B35ST 30 894438mm B38ST 30 894441mm B41ST 30 8944

White 25mm B25W 30 894428mm B28W 30 894432mm B32W 30 894435mm B35W 30 894438mm B38W 30 894441mm B41W 30 8944

Largestarter holeBlack 13-55mm BL13B 30 8944

13-75mm BL1375B 30 9015Stone 13-55mm BL13ST 30 8944

13-75mm BL1375ST 30 9015White 13-55mm BL13W 30 8944

13-75mm BL1375W 30 9015

705

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence BE Soft ConvexClosed pouches with integral soft convexity, soft water repellent cover on bodyside, hydrophobic protected filter and Flexifit wafer containing Aloe Vera extractsTransparent

Largestarter holeStone 13-25mm XBLT1325ST 10 3360

13-38mm XBLT1338ST 10 336013-52mm XBLT1352ST 10 3360

Standardstarter holeStone 13-25mm XBT1325ST 10 3360

13-38mm XBT1338ST 10 336013-52mm XBT1352ST 10 3360

Closed pouches with integral soft convexity, soft water repellent cover on bothsides, hydrophobic protected filter and Flexifit wafer containing Aloe Vera extractsOverlap

Largestarter holeBlack 13-25mm XBL1325B 10 3360

13-38mm XBL1338B 10 336013-52mm XBL1352B 10 3360

Stone 13-25mm XBL1325ST 10 336013-38mm XBL1338ST 10 336013-52mm XBL1352ST 10 3360

White 13-25mm XBL1325W 10 336013-38mm XBL1338W 10 336013-52mm XBL1352W 10 3360

Standardstarter holeBlack 13-25mm XB1325B 10 3360

13-38mm XB1338B 10 336013-52mm XB1352B 10 3360

Stone 13-25mm XB1325ST 10 336013-38mm XB1338ST 10 336013-52mm XB1352ST 10 3360

White 13-25mm XB1325W 10 336013-38mm XB1338W 10 336013-52mm XB1352W 10 3360

706

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Salts Healthcare pre-cutBlack 21mm XB21B 10 3360

25mm XB25B 10 336028mm XB28B 10 336032mm XB32B 10 336035mm XB35B 10 336038mm XB38B 10 336041mm XB41B 10 3360

Stone 21mm XB21ST 10 336025mm XB25ST 10 336028mm XB28ST 10 336032mm XB32ST 10 336035mm XB35ST 10 336038mm XB38ST 10 336041mm XB41ST 10 3360

White 21mm XB21W 10 336025mm XB25W 10 336028mm XB28W 10 336032mm XB32W 10 336035mm XB35W 10 336038mm XB38W 10 336041mm XB41W 10 3360

Ministarter holeBlack 13-25mm XBM1325B 10 3360

13-38mm XBM1338B 10 3360Stone 13-25mm XBM1325ST 10 3360

13-38mm XBM1338ST 10 3360White 13-25mm XBM1325W 10 3360

13-38mm XBM1338W 10 3360

Manufacturer Appliance Order No. Quantity List Price p

707

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence Closed Supersoft1 piece integral convexity closed pouches with hypoallergenic hydrocolloid and softbeige comfort backing on both sides, with overlap. Integral filter and anatomicalshape.

Standardstarter hole

13-25mm CCSS1325 10 294713-38mm CCSS1338 10 294713-52mm CCSS1352 10 2947

pre-cut 21mm CCSS21 10 294725mm CCSS25 10 294728mm CCSS28 10 294732mm CCSS32 10 294735mm CCSS35 10 294738mm CCSS38 10 294741mm CCSS41 10 2947

Largestarter hole

13-25mm CCSSL1325 10 294713-38mm CCSSL1338 10 294713-52mm CCSSL1352 10 2947

Confidence Comfort closed pouches - Opaque film/beige overlap comfort backingon both sides, hypoallergenic hydrocolloid, protected filter, anatomical shape.

Standardstarter hole

13mm CFO13 30 8412

Confidence Comfort closed pouches - Transparent film. Comfort backing on bodyside, hypoallergenic hydrocolloid, protected filter, anatomical shape.

Standardstarter hole

13mm CFT13 30 8412Largestarter hole

13mm CFLT13 30 8412

708

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Confidence Comfort closed pouches - Transparent film/beige overlap comfort

backing on both sides, hypoallergenic hydrocolloid, protected filter, anatomicalshape.

Standardstarter hole

13mm CF13 30 8576pre-cut 25mm CF25 30 8576

28mm CF28 30 857632mm CF32 30 857635mm CF35 30 857638mm CF38 30 8576

Largestarter hole

13mm CFL13 30 8576pre-cut 25mm CFL25 30 8576

28mm CFL28 30 857632mm CFL32 30 857635mm CFL35 30 857638mm CFL38 30 857641mm CFL41 30 8576

Confidence Goldwith hypoallergenic hydrocolloid and soft beige comfort backing on both sides, filterClosed Pouches - Transparent

Film/Beige Overlap Comfort BackingLargestarter hole

13mm CLTNW13 30 7209

Confidence NaturalClosed Pouches with comfort backing on bodyside, anatomical shape, protected filter and hypoallergenic hydrocolloid containing Aloe extractsTransparent

Largestarter hole

13mm NLT13 30 8987

Standardstarter hole

13mm NT13 30 8987

709

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Closed Pouches with comfort backing on both sides with overlap, anatomical shape,

protected filter and hypoallergenic hydrocolloid containing Aloe extractsLargestarter hole

13mm NL13 30 8987

Standardstarter hole

13mm N13 30 898725mm N25 30 898728mm N28 30 898732mm N32 30 898735mm N35 30 898738mm N38 30 898741mm N41 30 8987

Ministarter hole

13mm NM13 30 8987

Confidence Natural AdvanceClosed Pouches with comfort backing on bodyside, anatomical shape, protected filter and superior adhesion Flexifit hydrocolloid wafer containing Aloe Vera extractsTransparent

Largestarter hole

13-90mm NALT1390 30 890713mm NALT13 30 8907

Standardstarter hole

13mm NAT13 30 8907

Closed Pouches with comfort backing on both sides, anatomical shape, protected filter and superior adhesion Flexifit hydrocolloid wafer containing Aloe Vera extracts

Largestarter hole

13-90mm NAL1390 30 890713mm NAL13 30 8907

Standardstarter hole

13mm NA13 30 890725mm NA25 30 890728mm NA28 30 890732mm NA32 30 890735mm NA35 30 890738mm NA38 30 890741mm NA41 30 8907

Ministarter hole

13mm NAM13 30 8907

710

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence Natural Soft ConvexClosed Pouches with integral convexity, soft comfort backing on both sides with overlap, anatomical shape, integral filter and hypoallergenic Flexifit hydrocolloid wafer containing Aloe extracts

Largestarter hole

13-25mm XNL1325 10 306213-38mm XNL1338 10 306213-52mm XNL1352 10 3062

Standardstarter hole

13-25mm XN1325 10 306213-38mm XN1338 10 306213-52mm XN1352 10 3062

pre-cut21mm XN21 10 306225mm XN25 10 306228mm XN28 10 306232mm XN32 10 306235mm XN35 10 306238mm XN38 10 306241mm XN41 10 3062

Ministarter hole

13-25mm XNM1325 10 306213-38mm XNM1338 10 3062

711

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pT J Shannon Ltd Night bags TJS 948e 1 2757

Day bags TJS 948f 1 2409Disposable bags TJS 948g 100 1194Day bags tap outlet TJS 948j 1 2757Night bags tap outlet TJS 948k 1 3006Bags with elastic necks 50 2407Disposable bags and plaster sealed both ends 12 659

Ward Surgical Appliance Co

Colostomy Disposable bags, sealed both ends30.5cm x 102mm with102mm x 76mm plasters WM 15 10 88730.5cm x 127mm with102mm x 102mm plasters WM 16 10 887

Rubber colostomy bag with mount outlet WM 12 1 1531

Welland Medical Ltd Welland Aura Closed Pouch with soft backing, Dual Carb 2 filter and oval flangecontaining Manuka honeyMaxi

Beige - Split Covercut-to-fit 13mm-60/80mm MHCL 513 30 8969pre-cut 25mm MHCL 525 30 8969

29mm MHCL 529 30 896932mm MHCL 532 30 896935mm MHCL 535 30 896938mm MHCL 538 30 896944mm MHCL 544 30 8969

Clearcut-to-fit 13mm-60/80mm MHCL 713 30 8969MidiBeige - Split Covercut-to-fit 13mm-60/80mm MHCM 513 30 8969pre-cut 25mm MHCM 525 30 8969

29mm MHCM 529 30 896932mm MHCM 532 30 896935mm MHCM 535 30 896938mm MHCM 538 30 896944mm MHCM 544 30 8969

Clearcut-to-fit 13mm-60/80mm MHCM 713 30 8969Mini - Split CoverBeigecut-to-fit 13mm-50/70mm MHCS 513 30 8969pre-cut 25mm MHCS 525 30 8969

29mm MHCS 529 30 896932mm MHCS 532 30 896935mm MHCS 535 30 896938mm MHCS 538 30 896944mm MHCS 544 30 8969

Clearcut-to-fit 13mm-50/70mm MHCS 713 30 8969

712

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd Welland Aura Convex

Closed pouch with integral convexity, beige, spilt soft cover, flange containing Manuka honey.

BeigeMinistarter hole 25mm MHNCS413 10 3129

35mm MHNCM413 10 3129Midistarter hole 25mm MHNCS513 10 3129

35mm MHNCM513 10 312948mm MHNCL513 10 3129

Midi Plusstarter hole 60mm MHNCX813 10 3129Maxistarter hole 25mm MHNCS913 10 3129

35mm MHNCM913 10 312948mm MHNCL913 10 3129

Maxi Plusstarter hole 60mm MHNCX213 10 3129

ClearMidistarter hole 35mm MHNCM713 10 3129Midi Plusstarter hole 60mm MHNCX113 10 3129Maxistarter hole 35mm MHNCM313 10 3129Maxi Plusstarter hole 60mm MHNCX013 10 3129

Welland Aura Flushable Closed Pouch with removable flange containing Manuka honey and innercollection pouch which are both toilet disposable

BeigeMinicut-to-fit 19mm MHFS519 30 10853 Kpre-cut 25mm MHFS525 30 10853 K

29mm MHFS529 30 10853 K32mm MHFS532 30 10853 K35mm MHFS535 30 10853 K38mm MHFS538 30 10853 K44mm MHFS544 30 10853 K

Midicut-to-fit 19mm MHFM519 30 10853 Kpre-cut 25mm MHFM525 30 10853 K

29mm MHFM529 30 10853 K32mm MHFM532 30 10853 K35mm MHFM535 30 10853 K38mm MHFM538 30 10853 K44mm MHFM544 30 10853 K

Maxicut-to-fit 19mm MHFL519 30 10853 Kpre-cut 25mm MHFL525 30 10853 K

29mm MHFL529 30 10853 K32mm MHFL532 30 10853 K35mm MHFL535 30 10853 K38mm MHFL538 30 10853 K44mm MHFL544 30 10853 K

713

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Aura Profile Closed pouch with curvex soft, mouldable flange containing Manuka honey, Dual-Carb 2 filter and belt loopsBeige, double-sided softback

Ministarter hole 25mm MHCCS413 10 3131

35mm MHCCM413 10 3131

Midistarter hole 25mm MHCCS513 10 3131

35mm MHCCM513 10 313148mm MHCCL513 10 3131

Midi Plusstarter hole 60mm MHCCX813 10 3131

Maxistarter hole 25mm MHCCS913 10 3131

35mm MHCCM913 10 313148mm MHCCL913 10 3131

Maxi Plusstarter hole 60mm MHCCX213 10 3131

Clear, beige soft backing on body sideMidistarter hole 35mm MHCCM713 10 3131Midi Plusstarter hole 60mm MHCCX113 10 3131

Maxistarter hole 35mm MHCCM313 10 3131Maxi Plusstarter hole 60mm MHCCX013 10 3131

Welland Colostomy Closed Pouch with soft backing

Beige starter hole 10mm FSC 910 30 749825mm FSC 925 30 749829mm FSC 929 30 749832mm FSC 932 30 749835mm FSC 935 30 749838mm FSC 938 30 749844mm FSC 944 30 749851mm FSC 951 30 749860mm FSC 960 30 7498

Clear starter hole 10mm FSC 710 30 749825mm FSC 725 30 749829mm FSC 729 30 749832mm FSC 732 30 749835mm FSC 735 30 749838mm FSC 738 30 749844mm FSC 744 30 749851mm FSC 751 30 749860mm FSC 760 30 7498

714

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Curvex Closed Pouch with soft, mouldable flange, all over soft cover and Dual-Carb filter

Beige25mm plateau starter hole CCS 513 10 261332mm plateau starter hole CCM 513 10 261332mm plateau 25mm pre-cut CCM 525 10 261332mm plateau 32mm pre-cut CCM 532 10 261343mm plateau starter hole CCL 513 10 261343mm plateau 32mm pre-cut CCL 532 10 261343mm plateau 38mm pre-cut CCL 538 10 2613

Clear25mm plateau starter hole CCS 713 10 261332mm plateau starter hole CCM 713 10 261343mm plateau starter hole CCL 713 10 2613

Welland Freestyle Colostomy (incorporating Dual-Carb Filter)Closed Pouch with clear odour barrier film on flange side, opaque odour barrierfilm on filter side. Both sides covered with beige polyethylene soft back.Medium 13mm starter hole (cuts to 60mm)

FMC 513 30 7683pre-cut

25mm FMC 525 30 753729mm FMC 529 30 753732mm FMC 532 30 753735mm FMC 535 30 753738mm FMC 538 30 753744mm FMC 544 30 7537

Large 13mm starter hole (cuts to 60mm)FLC 513 30 7683

pre-cut25mm FLC 525 30 768329mm FLC 529 30 768332mm FLC 532 30 768335mm FLC 535 30 753738mm FLC 538 30 768344mm FLC 544 30 7683

Closed Pouch with clear odour barrier film on both sides and a whitepolyethylene soft back layer on the flange side.Medium 13mm starter hole (cuts to 60mm)

FMC 713 30 7683Large 13mm starter hole (cuts to 60mm)

FLC 713 30 7683pre-cut

25mm FLC 725 30 753729mm FLC 729 30 753732mm FLC 732 30 753735mm FLC 735 30 753738mm FLC 738 30 753744mm FLC 744 30 7537

715

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd Welland FreeStyle Convex

Closed Pouch with integral convexity with soft backingBeige soft backing to both sidesMedium 13mm starter hole (cuts to 35mm)

NCM 513 10 2894pre-cut

25mm NCM 525 10 289429mm NCM 529 10 289432mm NCM 532 10 289435mm NCM 535 10 2894

Large 13mm starter hole (cuts to 48mm)NCL 513 10 2894

pre-cut35mm NCL 535 10 289438mm NCL 538 10 289444mm NCL 544 10 2894

Clear with white soft backing on flange sideMedium 13mm starter hole (cuts to 35mm)

NCM 713 10 2894Large 13mm starter hole (cuts to 48mm)

NCL 713 10 2894

Welland FreeStyle Oval Colostomy Pouch with soft backing

Beigestarter hole 13mm FCV 513 30 7655Clearstarter hole 13mm FCV 713 30 7655

Welland FreeStyle Vie Closed Pouch with protected Dual-Carb Filter and soft beige comfort backing onboth sides

Mediumcut-to-fit 13mm PMC 513 30 8966pre-cut 25mm PMC 525 30 8966

29mm PMC 529 30 896632mm PMC 532 30 896635mm PMC 535 30 896638mm PMC 538 30 896644mm PMC 544 30 8966

Largecut-to-fit 13mm PLC 513 30 8966pre-cut 25mm PLC 525 30 8966

29mm PLC 529 30 896632mm PLC 532 30 896635mm PLC 535 30 896638mm PLC 538 30 896644mm PLC 544 30 8966

Closed Pouch with protected Dual-Carb Filter, clear with soft beige comfort backing on body sideMediumcut-to-fit 13mm PMC 713 30 8966Largecut-to-fit 13mm PLC 713 30 8966pre-cut 25mm PLC 725 30 8966

29mm PLC 729 30 896632mm PLC 732 30 896635mm PLC 735 30 896638mm PLC 738 30 896644mm PLC 744 30 8912

716

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

Colostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland FreeStyle Vie ConvexClosed Pouch with integral convexity, Dual-carb filter and Integral belt loops

Beige double-sided softbackMedium Plateaucut-to-fit 13-35mm PNCM 513 10 3101pre-cut 25mm PNCM 525 10 3101

29mm PNCM 529 10 310132mm PNCM 532 10 3101

Large Plateaucut-to-fit 13-48mm PNCL 513 10 3101pre-cut 35mm PNCL 535 10 3101

38mm PNCL 538 10 3101Clear with beige soft backing on body sideMedium Plateaucut-to-fit 13-35mm PNCM 713 10 3101Large Plateaucut-to-fit 13-48mm PNCL 713 10 3101

Welland FreeStyle Vie CurvexClosed Pouch with soft, mouldable flange, Dual-Carb filter and integral belt loops

Beige double-sided softbackSmall Plateaucut-to-fit 13-25mm PCCS 513 10 3101Medium Plateaucut-to-fit 13-32mm PCCM 513 10 3101pre-cut 25mm PCCM 525 10 3101

32mm PCCM 532 10 3101Large Plateaucut-to-fit 13-43mm PCCL 513 10 3101pre-cut 32mm PCCL 532 10 3101

38mm PCCL 538 10 3101Clear with beige soft backing on body sideSmall Plateaucut-to-fit 13-25mm PCCS 713 10 3101Medium Plateaucut-to-fit 13-32mm PCCM 713 10 3101Large Plateaucut-to-fit 13-43mm PCCL 713 10 3101

717

Part IXC 11/2019STOMA APPLIANCES

COLOSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland FreeStyle Vie Flushable Closed Pouch with beige softback layer on both sides, protected Dual-Carb Filterand an inner collection pouch which is toilet disposable

Medium 19mm PFM519 30 1083825mm PFM525 30 1083829mm PFM529 30 1083832mm PFM532 30 1083835mm PFM535 30 1083838mm PFM538 30 1083844mm PFM544 30 10838

Large 19mm PFL519 30 1083825mm PFL525 30 1083829mm PFL529 30 1083832mm PFL532 30 1083835mm PFL535 30 1083838mm PFL538 30 1083844mm PFL544 30 10838

Welland Ovation Closed Pouch with oval skin protector

Clearstarter hole 10mm FCO 710 30 7753Beigestarter hole 10mm FCO 910 30 7753

Welland Silhouette Standard Length Closed Pouch

Beige10mm SCS 510 30 719125mm SCS 525 30 719129mm SCS 529 30 719132mm SCS 532 30 719135mm SCS 535 30 719138mm SCS 538 30 719144mm SCS 544 30 719151mm SCS 551 30 719160mm SCS 560 30 7191

Clear10mm SCS 710 30 719125mm SCS 725 30 719129mm SCS 729 30 719132mm SCS 732 30 719135mm SCS 735 30 719138mm SCS 738 30 719144mm SCS 744 30 719151mm SCS 751 30 719160mm SCS 760 30 7191

718

11/2019 Part IXCSTOMA APPLIANCES

COLOSTOMY BAGS

COLOSTOMY SETS

All products in this category must be dispensed with a supply of wipes and disposal bags.

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Silhouette Vogue Shorter Length Closed Pouch

Beige 10mm SCV 510 30 638025mm SCV 525 30 638029mm SCV 529 30 638032mm SCV 532 30 638035mm SCV 535 30 638038mm SCV 538 30 638044mm SCV 544 30 638051mm SCV 551 30 6380

Welland Vogue Mini Closed Pouch

Beige starter hole 10mm VOG 910 30 664925mm VOG 925 30 664929mm VOG 929 30 664932mm VOG 932 30 664935mm VOG 935 30 664938mm VOG 938 30 664944mm VOG 944 30 664951mm VOG 951 30 6649

Manufacturer Appliance Order No. Quantity List Price pJade-Euro-Med Ltd Chiron Appliances

Adhesive model withspout bag

MK I WE001-38-W 1 8754MK III WE007-38-X 1 8754

T J Shannon Ltd Easychange Colostomy Appliance 27mm, 40mm, 57mm

1 482

Colostomy Outfit TJS 948A 1 8135Colostomy Outfit TJS 948NA 1 7877Colostomy Outfit TJS 948T 1 4313

Adhesive Appliance TJS 948B 1 5253

719

11/2019 Part IXCSTOMA APPLIANCES

DEODORANTS

Manufacturer Appliance Order No. Quantity List Price p

Anglo Venture 2000 Ltd

Friends Ostomy Deodorant SprayVictorian Rose 012346 75ml 348

Lemon 012347 75ml 348

B Braun Medical Ltd DeOdour Deodorant Sachet 005013A 30 821

C S Bullen Ltd NA’Scent Ostomy Odour Eliminator 02-NOOEWS 59ml 5579901-NOOEWS 236ml 12060112-NOOEWS 354ml 1629

Shelter Deodorant 520 125ml 337

Shelter Deodorant Sachet 530 50 1025

CliniMed Ltd LiMone Ostomy Deodorant Spray 3905 50ml 523

Coloplast Ltd Coloplast Brava Lubricating Deodorant 12061 240ml 860

Coloplast Brava Lubricating Deodorant Sachet

12060 20 459

Dansac Ltd Nodor S 080-00 50ml 456080-01 250ml 933

Hollister Ltd Adapt Lubricating Deodorant 78500 236ml 974

Adapt Lubricating Deodorant Sachet 78501 50 1383

Loxley Products Day-drop LL04 7.5ml 109LL05 15ml 181LL06 30ml 309

Lemon Day-drop LL07 7.5ml 109LL08 15ml 181

Lemon Day-drop Spray LL010 50ml 345

Medicareplus International Ltd

Medi Citrone Ostomy Deodorant Aerosol

60352 50ml 425

Opus Healthcare DeoGel Deodorising & Lubricating Gel 2010 200ml 811

DeoGel Deodorising & Lubricating GelSachets

2020 50 3113

NaturCare (aerosol spray) 1100A 50ml 502NaturCare Breeze (aerosol spray) 1103A 50ml 502NaturCare Fragrant (aerosol spray) 1101A 50ml 502NaturCare IPD Sachets 1104 50 1314NaturCare Zest (aerosol spray) 1102A 50ml 502

720

Part IXC 11/2019STOMA APPLIANCES

DEODORANTS

Pelican Healthcare Ltd Dor Pouch Deodorant 130103 7ml 240

Deo-Mint 130770 50ml 499

Respond Healthcare Ltd

Glide Odour Neutralising Pouch Lubricant (formerly OstoMart OstoZyme Multi)

TCB6 300ml 821

Glide Odour Neutralising Pouch Lubricant sachet (formerly OstoMart OstoZyme Odour Neutralising Lubricating Gel sachets)

TCB3 30 x 8ml 687

Neutralise (formerly OstoMart OstoMist Odour Neutralising Spray)Apple DPA1 100ml 827

DPA2 50ml 424Blackberry BDW1 100ml 827

BDW2 50ml 424Cinnamon & Sandalwood CSW1 100ml 827

CSW2 50ml 424Grapefruit DWR1 100ml 827

DWR2 50ml 424Mint SBL1 100ml 827

SBL2 50ml 424

Neutralise Clean Fresh Gardenia Drops (formerly OstoMart OstoMist Odour Neutraliser Gardenia with Jasmine Drops)

GJN50 50ml 445

Neutralise Clean Fresh Mint Drops (formerly OstoMart OstoMist Odour Neutraliser Mint Drops)

SPN5 50ml 445

Neutralise Clean Fresh Tangerine Drops (formerly OstoMart OstoMist Odour Neutraliser Tangerine Drops)

TGN50 50ml 445

Salts Healthcare Salts No-Roma 833021 28ml 292833056 227ml 951

Salts Odour Eliminating Spray FA1 50ml 414

T J Shannon Colostomy Plus 7ml 292

A H Shaw & Partners Ltd

Forest Breeze NSI 61 14ml 385

Manufacturer Appliance Order No. Quantity List Price p

721

11/2019 Part IXCSTOMA APPLIANCES

DISCHARGE SOLIDIFYING AGENTS

FILTERS/BRIDGES

Manufacturer Appliance Order No. Quantity List Price p

B.Braun Medical Ileo Gel+ sachet 005012E 45 1523

C S Bullen Ltd Absorbian Core (only for use with Absorbian drainable pouch)

UFAS04 20 1500

Absorbian Sachet UFAS-01 30 788Absorbian Sachet Plus UFAS-02 30 788Absorbian Wand UFAS-03 60 1577

CliniMed Ltd Morform Sachet 3837 60 1991

CliniSupplies Ltd ZenSetiv absorbent sachets A2020 90 2250

ConvaTec Ltd ConvaTec Diamonds sachets TR 105 100 3180

Oakmed Ltd Gel-X Capsules Gel-X 140 1586Gel-X Tablets Gel-XT 140 1556

Opus Healthcare AbsorbaGel 9900 150 4669

Peak Medical Ltd Gellymate Absorption Capsules GM 140 140 1539Gellymate Absorption Tablets GD 140 140 1514

Pelican Healthcare Pelican Perform Sachets 130160 60 2032

ProSys International Ltd Independence Absorbent Strips P200AS 200 2040

Respond Healthcare Ltd Absorb Odour Neutralising Absorbent Gel (formerly OstoMart OstoSorb)

PFW5 30 1005

(3g sachets) PFW6 150 4216

Trio Healthcare Ltd Trio Pearls sachets TR205 100 2998

Manufacturer Appliance Order No. Quantity List Price pB. Braun Medical Biotrol Flatus Filters 35-500 50 1479

Coloplast Ltd Filtrodor Filters 0509 50 2388

Cuxson Gerrard Flatus Patches T33 3.8cm x 3.8cm FLA 830 50 360

Hollister Ltd Replacement Filter elements for series 366 drainable bags

7766 100 1795

Opus Healthcare ClearWay Stoma Bridge 7700 30 1031ClearWay Stoma Bridge Mini 8800 30 1033

Respond Healthcare Ltd OstoMart Osto-EZ-Vent OEV1 10 1668

Salts Healthcare Metal Bridges- for use with other disposable bags

833053 30 1678

722

11/2019 Part IXCSTOMA APPLIANCES

FLANGES

All products in this category qualify for the stoma customisation fee.

Manufacturer Appliance Order No. Quantity List Price p

C S Bullen Ltd Lenbul25mm diameter 51mm base UF 24 1 93438mm diameter 76mm base UF 25 1 142151mm diameter 102mm base UF 26 1 1658

DBT Medical Ltd St Mark's Flanges made in two Rubbers with Hard Centre22mm int diam, 16mm deep, 76mm base

LM 841101 2 3954

32mm int diam, 16mm deep, 76mm base

LM 841103 2 3954

32mm int diam, 10mm deep, 76mm base

LM 841104 2 3954

38mm int diam, 16mm deep, 76mm base

LM 841105 2 3954

38mm int diam, 10mm deep, 76mm base

LM 841106 2 3954

44mm int diam, 16mm deep, 102mm base

LM 841107 2 3954

25mm int diam, 13mm deep, 76mm base

LM 841110 2 3954

51mm int diam, 16mm deep, 102mm base

LM 841109 2 3954

St Mark's Flanges made in Soft Honey Coloured Rubber25mm int diam, 13mm deep, 51mm base

LM 842101 2 2306

32mm int diam, 16mm deep, 76mm base

LM 842103 2 2306

32mm int diam, 10mm deep, 76mm base

LM 842104 2 2306

38mm int diam, 16mm deep, 76mm base

LM 842105 2 2306

38mm int diam, 10mm deep, 76mm base

LM 842106 2 2306

44mm int diam, 16mm deep, 102mm base

LM 842107 2 2306

51mm int diam, 16mm deep, 102mm base

LM 842109 2 2306

25mm int diam, 13mm deep, 76mm base

LM 842111 2 2306

Any of the above Flanges are available with a Diaphragm, orCowl, or Dressing Retainer at the extra cost of:

351

723

11/2019 Part IXCSTOMA APPLIANCES

FLANGES

Flanges

DBT Medical Ltd St Mark's Flanges, Black Firm Rubber22mm int diam, 13mm deep, 51mm base

LM 843101 2 2639

32mm int diam, 16mm deep, 76mm base

LM 843103 2 2639

32mm int diam, 10mm deep, 76mm base

LM 843104 2 2639

38mm int diam, 16mm deep, 76mm base

LM 843105 2 2639

38mm int diam, 10mm deep, 76mm base

LM 843106 2 2639

44mm int diam, 16mm deep, 102mm base

LM 843107 2 2639

51mm int diam, 16mm deep, 102mm base

LM 843109 2 2639

Birkbeck Flanges, White Rubber20mm int diam, 16mm deep, 75mm base

LM 722019 2 2639

38mm int diam, 16mm deep, 90mm base

LM 722038 2 2639

Jade-Euro-Med Ltd

Colostomy flange St Mark's pattern, state size

KM54 1 1644

Colostomy flange St Mark's pattern with diaphragm, state size

KM55 1 1644

Chiron Flanges, 38mm int diam,

10mm deep WK102-38-K 1 205532mm 16mm deep WK104-32-F 1 205538mm 16mm deep WK104-38-T 1 2055

Rubber Flange38mm int diam, 16mm deep WK108-38-L 1 2055

St Mark's Pattern Flanges25mm diam, 13mm deep

51mm base WK111-25-B 1 175176mm base WK113-25-K 1 1751

32mm diam, 10mm deep76mm base WK115-32-Q 1 1751

32mm diam, 16mm deep76mm base WK117-32-Y 1 1751

38mm diam, 10mm deep76mm base WK119-38-V 1 1751

38mm diam, 16mm deep76mm base WK121-38-R 1 1751

44mm diam, 16mm deep WK123-44-U 1 1751102mm base

51mm diam, 16mm deep WK125-51-A 1 1751102mm base

38mm with dressing retainer WK126-01-N 1 221138mm with 16mm canopy WK126-02-Q 1 2211

Manufacturer Appliance Order No. Quantity List Price p

724

11/2019 Part IXCSTOMA APPLIANCES

FLANGES

Manufacturer Appliance Order No. Quantity List Price p

Jade-Euro-Med Ltd Flanges all Blue Rubber25mm int diam, 13mm deep, 51mm base

WK132-25-R 1 1860

38mm int diam, 10mm deep, 76mm base

WK135-38-P 1 1860

Flanges Blue and Brown25mm int diam, 13mm deep, 76mm base

WK141-25-S 1 2699

38mm int diam, 10mm deep, 76mm base

WK144-38-Q 1 2699

38mm int diam, 16mm deep, 76mm base

WK147-38-D 1 2699

Rubber Flanges, double base hole 38mm int diam

WK160-38-J 1 2725

Omex Medical Ltd Schacht Colo Flanges and Locking Rings 784583 1 529Schacht Ileo Flanges and Locking Rings 784575 1 529

Salts Healthcare SF4 Soft Rubber Flange 38mm 822004 1 905SF5 Semi-Rigid Flange 38mm 822005 1 1551

Ward Surgical Appliance Co

Plastic/Rubber airfilled Flange WM 88 1 1784St Mark's standard flange WM 100 1 1174St Mark's flange with diaphragm WM 101 1 1435

725

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

All products in this category qualify for the stoma customisation fee.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical Softima drainable pouch with filter, skin protector, protective cover and "FlowControl" soft outlet

Beigepre-cut 24mm 043724E 30 9538

Softima High Flow drainable pouch with filterTransparent cut to fit 15mm-76mm 43971E 30 9947Beige cut to fit 15mm-76mm 43970E 30 9947

Softima Convex Roll’Up drainable pouch with integral clamp, filter and soft coverBeige

cut-to-fit 15-35mm 41717E 10 452815-45mm 41718E 10 4528

pre-cut 25mm 41726E 10 452830mm 41731E 10 4528

Transparentcut-to-fit 15-35mm 41817E 10 4528

15-45mm 41818E 10 4528

Softima Roll’Up drainable pouch with integral clamp, filter and soft coverBeige

cut-to-fit 15-60mm 41715E 30 9538pre-cut 25mm 41725E 30 9538

30mm 41730E 30 953835mm 41735E 30 953840mm 41740E 30 9538

Transparentcut-to-fit 15-60mm 41815E 30 9538

Softima Active Roll’Up drainable pouch with filter and soft coverBeigeMini

cut-to-fit 15-45mm 4620215E 30 8456Midi

cut-to-fit 15-50mm 4620115E 30 8456pre-cut 25mm 4620125E 30 8456

30mm 4620130E 30 845635mm 4620135E 30 845640mm 4620140E 30 8456

Maxicut-to-fit 15-65mm 4620380E 30 8456

TransparentMini

cut-to-fit 15-45mm 4621215E 30 8456Midi

cut-to-fit 15-50mm 4621115E 30 8456Maxi

cut-to-fit 15-65mm 4621380E 30 8456

726

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

C S Bullen Ltd Absorbian drainable pouch - 2 Openings with Bio-dressing resin, microporousadhesive and skin barrier

Clearcut-to-fit 13mm-80mm UFAS05 15 3252

LenbulWith screw outlet

Day Bag F5 1 1389Night Bag F6 1 1530

Shelter Drainable PouchExtra Large Opaque

cut-to-fit 13-80mm 3600/00 15 2541

Bio dressing, resinBeige

cut-to-fit 13mm-64mm 3250/00 15 259013mm-80mm 3450/00 15 2605

pre-cut 19mm 3250/19 15 259025mm 3250/25 15 259032mm 3250/32 15 259038mm 3250/38 15 259044mm 3250/44 15 259051mm 3250/51 15 259058mm 3250/58 15 259064mm 3250/64 15 2590

Newborncut-to-fit 8mm-25mm 3550/00 15 2645

Microporous adhesive, bio dressing resinBeige

cut-to-fit 13mm-64mm 3245/00 15 248813mm-80mm 3445/00 15 2850

pre-cut 19mm 3245/19 15 248825mm 3245/25 15 248832mm 3245/32 15 248838mm 3245/38 15 248844mm 3245/44 15 248851mm 3245/51 15 248858mm 3245/58 15 248864mm 3245/64 15 2488

Pouch with 2 openings Microporous adhesive, bio dressing resinBeige

cut-to-fit 13mm-64mm 4102/00 15 2834pre-cut 19mm 4102/19 15 2834

25mm 4102/25 15 283432mm 4102/32 15 283438mm 4102/38 15 283444mm 4102/44 15 283451mm 4102/51 15 283457mm 4102/57 15 283464mm 4102/64 15 2834

Manufacturer Appliance Order No. Quantity List Price p

727

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

C S Bullen Ltd Shelter Drainable Pouch Microporous adhesiveClear

cut-to-fit 13-64mm 3200/00 15 2834pre-cut 19mm 3200/19 15 2834

25mm 3200/25 15 283432mm 3200/32 15 283438mm 3200/38 15 283444mm 3200/44 15 283451mm 3200/51 15 283458mm 3200/58 15 283464mm 3200/64 15 2834

Shelter Soft and SecureBio dressing resin, skin barrier and integral closure

cut-to-fit 13mm-64mm SS3250/00 15 367613mm-80mm SS3450/00 15 3691

pre-cut 19mm SS3250/19 15 367625mm SS3250/25 15 367632mm SS3250/32 15 367638mm SS3250/38 15 367644mm SS3250/44 15 367651mm SS3250/51 15 367658mm SS3250/58 15 367664mm SS3250/64 15 3676

Microporous adhesive, bio dressing resin, skin barrier and integral closurecut-to-fit 13mm-64mm SS3245/00 15 3430

13mm-80mm SS3445/00 15 3859pre-cut 19mm SS3245/19 15 3430

25mm SS3245/25 15 343032mm SS3245/32 15 343038mm SS3245/38 15 343044mm SS3245/44 15 343051mm SS3245/51 15 343058mm SS3245/58 15 343064mm SS3245/64 15 3430

Extra large capacitycut-to-fit 13mm-80mm SS3600/00 15 3571

Microporous adhesive, skin barrier and integral closurecut-to-fit 13-64mm SS3200/00 15 3844pre-cut 19mm SS3200/19 15 3844

25mm SS3200/25 15 384432mm SS3200/32 15 384438mm SS3200/38 15 384444mm SS3200/44 15 384451mm SS3200/51 15 384458mm SS3200/58 15 384464mm SS3200/64 15 3844

CliniSupplies Ltd ZenSiv 1-piece drainable bag with window, vent, filter and velcro closureBeigecut-to-fit 10-80mm D1NB10XV 20 4560pre-cut 25mm D1NB25XV 20 6440

32mm D1NB32XV 20 644038mm D1NB38XV 20 6440

ZenSiv 1-piece drainable bag with window and filterMini Beigecut-to-fit 10-50mm M1NB10 20 5000

728

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Coloplast Ltd Assura Drainable Bag with soft backingMidi Clear

starter hole 10mm 2450 30 8209Midi Opaque

starter hole 10mm 2440 30 8209Maxi Clear

starter hole 10mm 2490 30 8209Maxi Opaque

starter hole 10mm 2520 30 8209

Drainable Bag with Integral Filter and Soft Cover Front and Back.Paediatric Clear

starter hole 10-35mm 2115 30 7098Paediatric Opaque

starter hole 10-35mm 2110 30 7098Large Post-Op for high output Clear

starter hole 10-70mm 12805 10 3130

Assura Inspire Drainable Bag with Hide-Away Outlet and Integral Dual FilterMini Soft Cover

cut-to-fit 12-55mm 14801 30 9902Midi Transparent

cut-to-fit 12-55mm 14803 30 9902Midi Soft Cover

cut-to-fit 12-55mm 14804 30 9902Maxi Transparent

cut-to-fit 12-70mm 14806 30 9902Maxi Soft Cover

cut-to-fit 12-70mm 14807 30 9902

Assura Inspire Drainable Bag with Integral Filter and Opaque Soft Cover Front and Back

Midi Soft Coverstarter hole 10-55mm 13340 30 8209

Maxi Soft Coverstarter hole 10-70mm 13370 30 8209

Assura Inspire Drainable Bag with Integral Filter, opaque Soft Cover Front andBack with Hide-away outlet

Mini Opaquestarter hole 12-55mm 13810 30 9323

Midi Opaquestarter hole 12-55mm 13840 30 9323

pre-cut 25mm 13844 30 932330mm 13845 30 932335mm 13846 30 9323

Maxi Opaquestarter hole 12-70mm 13870 30 9323

pre-cut 25mm 13874 30 932330mm 13875 30 932335mm 13876 30 9323

Manufacturer Appliance Order No. Quantity List Price p

729

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd Assura Inspire Drainable Bag with Integral Filter, Soft Backing with Hide-away

outletMidi Transparent

starter hole 12-55mm 13830 30 9323Maxi Transparent

starter hole 12-70mm 13860 30 9323

Assura Inspire Drainable Bag with Integral Filter, opaque design Soft Cover Frontand Back with Hide-away outlet

Midi Designstarter hole 12-55mm 13850 30 9323

Maxi Designstarter hole 12-70mm 13880 30 9219

Assura Inspire Seal Integral Convexity Drainable Bags with integral filter and SoftBacking with Hide-away outlet.

Maxi Transparentstarter hole 15-33mm 14102 10 3045

15-43mm 14103 10 3045pre-cut 21mm 14163 10 3045

25mm 14164 10 304528mm 14165 10 304531mm 14166 10 3045

Assura Inspire Seal Integral Convexity Drainable Bags with integral filter, opaqueSoft Cover Front and Back with Hide-away outlet.

Midi Soft Coverstarter hole 15-33mm 14195 10 3045

15-43mm 14196 10 3045Maxi Soft Cover

starter hole 15-33mm 14105 10 304515-43mm 14106 10 3045

pre-cut 21mm 14173 10 304525mm 14174 10 304528mm 14175 10 304531mm 14176 10 3045

Maxi Designstarter hole 15-43mm 14109 10 3009

Assura Inspire Soft Seal Drainable bags with Hide-Away outletMidi Soft Cover

starter hole 15-33mm 14404 10 443715-43mm 14405 10 4437

Maxi Soft Coverstarter hole 15-33mm 14414 10 4437

15-43mm 14415 10 4437Maxi Soft Cover

pre-cut 21mm 14421 10 443725mm 14422 10 443728mm 14423 10 443731mm 14424 10 4437

Maxi Designstarter hole 15-43mm 14418 10 4437

Maxi Transparentstarter hole 15-33mm 14411 10 4437

15-43mm 14412 10 4437

Assura Seal Integral Convexity Drainable Bags with Soft BackingMaxi Opaque

starter hole 15-43mm 12583 10 2835

730

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd SenSura 1-piece drainable bag with filter and soft outlet for High Output

cut-to-fit 10-76mm 19004 30 10052

SenSura 1-piece Drainable Bags with Hide-away outletMini Soft Cover

cut-to-fit 10-55/66mm 15720 30 10126Midi Soft Cover

cut-to-fit 10-55/66mm 15760 30 10126pre-cut 25mm 15762 30 10126

30mm 15763 30 1012635mm 15764 30 10126

Midi Split Soft Covercut-to-fit 10-55/66mm 15761 30 10126

Midi Transparentcut-to-fit 10-55/66mm 15740 30 10126

Maxi Soft Covercut-to-fit 10-65/76mm 15780 30 10126pre-cut 25mm 15782 30 10126

30mm 15783 30 1012635mm 15784 30 10126

Maxi Split Soft Covercut-to-fit 10-65/76mm 15781 30 10126

Maxi Transparentcut-to-fit 10-65/76mm 15770 30 10126

SenSura Mio 1-piece Drainable Bag with full-circle filterMini Neutral Grey with window

cut-to-fit 10-45mm 10401 30 10126Midi Neutral Grey with window

cut-to-fit 10-45mm 10411 30 10126pre-cut 25mm 10412 30 10126

30mm 10413 30 1012635mm 10414 30 10126

Maxi Neutral Grey with windowcut-to-fit 10-55mm 10421 30 10126pre-cut 30mm 10422 30 10126

35mm 10423 30 1012640mm 10424 30 10126

Maxi Transparentcut-to-fit 10-55mm 10428 30 10126

SenSura Mio 1-piece Drainable bag with integral soft convexity, BodyFitTechnology and full-circle filterMidi Neutral Grey with window

starter hole 15-33mm 16601 10 4647Maxi Neutral Grey with window

starter hole 15-33mm 16605 10 464710-50mm 16606 10 4647

pre-cut 25mm (cuts to 33mm) 16610 10 464728mm (cuts to 33mm) 16611 10 464731mm (cuts to 50mm) 16612 10 464735mm (cuts to 50mm) 16613 10 4647

731

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio 1-piece Drainable bag with integral light convexity, BodyFitTechnology and full-circle filterMidi Neutral Grey with window

starter hole 10-23mm 16621 10 464715-33mm 16622 10 464731-43mm 16623 10 4647

Maxi Neutral Grey with windowstarter hole 10-23mm 16625 10 4647

10-43mm 16633 10 466015-33mm 16626 10 464731-43mm 16627 10 4647

pre-cut 25mm (cuts to 33mm) 16631 10 464728mm (cuts to 33mm) 16632 10 4647

SenSura Mio 1-piece Drainable bag with integral deep convexity, BodyFitTechnology and full-circle filterMidi Neutral Grey with window

starter hole 10-23mm 16641 10 464715-33mm 16642 10 464731-43mm 16643 10 4647

Maxi Neutral Grey with windowstarter hole 10-23mm 16645 10 4647

10-43mm 16654 10 466015-33mm 16646 10 464731-43mm 16647 10 4647

pre-cut 25mm (cuts to 33mm) 16651 10 464728mm (cuts to 33mm) 16652 10 4647

SenSura Mio 1-piece drainable high output bag with soft convexity, BodyFitTechnology and full circle filter

XL Neutral Grey with window, soft outletstarter hole 10-50mm 18670 10 4610XL Transparent, starter hole 10-50mm 18671 10 4610

SenSura Mio 1-piece drainable high output bag with light convexity, BodyFitTechnology and full circle filter

XL Neutral Grey with window, soft outletstarter hole 10-43mm 18675 10 4610XL Transparent, soft outletstarter hole 10-43mm 18676 10 4610

SenSura Mio 1-piece drainable high output with BodyFit Technology and full circlefilter

XL Neutral Grey with window, soft outletstarter hole 10-70mm 18660 10 3348

10-100mm 18661 10 3348XL Transparent, soft outletstarter hole 10-70mm 18665 10 3348

10-100mm 18666 10 3348

732

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Coloplast Ltd SenSura Mio 1-piece drainable post-op bag with BodyFit Technology Transparent with access windowstarter hole 10-70mm 18690 5 1675

10-100mm 18691 5 1675

SenSura Mio Concave 1-Piece Drainable bag with BodyFit Technology and full-circle filterMini Neutral grey with window

starter hole 10-40mm 18200 10 4621Midi Neutral Grey with window

starter hole 10-40mm 18201 10 462110-50mm 18210 10 4621

pre-cut 25mm 18212 10 462130mm 18213 10 4621

Maxi Neutral grey with windowstarter hole 10-40mm 18202 10 4621

10-50mm 18220 10 462110-60mm 18230 10 4621

pre-cut 30mm 18222 10 462135mm 18223 10 462140mm 18231 10 4621

Maxi Transparentstarter hole 10-60mm 18235 10 4621

SenSura Mio Kids 1-piece Drainable bag with BodyFit Technology and full-circlefilterMidi Neutral Grey with window

cut-to-fit 0-35mm 18710 10 3375Midi Transparent

cut-to-fit 0-35mm 18711 10 3375

SenSura Soft Seal 1-piece Drainable bag with integral light convexity and Hide-away outlet

Midi Split Soft Cover cut-to-fit 15-33mm 15700 10 4647

15-43mm 15702 10 4647Midi Soft Cover

cut-to-fit 15-33mm 15703 10 464715-43mm 15704 10 4647

Maxi - Transparentcut-to-fit 15-33mm 15705 10 4647

15-43mm 15706 10 4647Maxi Split Soft Cover

cut-to-fit 15-33mm 15701 10 464715-43mm 15709 10 4647

Maxi Soft Covercut-to-fit 15-33mm 15707 10 4647

15-43mm 15708 10 4647pre-cut 21mm 15732 10 4647

25mm 15733 10 464728mm 15734 10 464731mm 15735 10 4647

Manufacturer Appliance Order No. Quantity List Price p

733

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd Esteem Drainable Pouches No Filter and InvisiClose OutletPaediatric Extra Small - Transparent

cut-to-fit 0-23mm S5090 10 2931

Esteem+ drainable clipped pouchSmall - clear with filter

cut-to-fit 20-70mm 421847 10 2740Standard - clear with filter

cut-to-fit 20-70mm 421848 10 2740Small - opaque with filter

cut-to-fit 20-70mm 421837 10 2740Standard - opaque with filter

cut-to-fit 20mm-70mm 421838 10 2740pre-cut 25mm 421839 10 2740

30mm 421840 10 274035mm 421841 10 274040mm 421842 10 2740

Esteem+ Drainable Pouch with ConvaTec Mouldable Technology and InvisiCloseoutlet

Standard - clear with filtermould-to-fit 20-30mm 413515 10 3419

30-40mm 413516 10 341940-50mm 413517 10 3383 K

Standard - opaque with filtermould-to-fit 20-30mm 413521 10 3419

30-40mm 413522 10 341940-50mm 413523 10 3383 K

Esteem+ Drainable Pouch with InvisiClose outletStandard - opaque with filterstarter hole 20mm-70mm 416719 10 3301

pre-cut 25mm 416725 10 330130mm 416729 10 330135mm 416733 10 330140mm 416737 10 3301

Standard - clear with filterstarter hole 20mm-70mm 416718 10 3301

pre-cut 25mm 416724 10 327830mm 416728 10 327835mm 416732 10 3278

Standard - clear no filterstarter hole 20mm-70mm 416721 10 3136Standard - opaque with filter and windowstarter hole 20mm-70mm 421858 10 3261

pre-cut 25mm 421859 10 326130mm 421860 10 326135mm 421861 10 326140mm 421862 10 3261

734

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd Esteem+ Convex Drainable Pouch with InvisiClose outletStandard - opaque with filter

pre-cut 19mm 416739 10 454522mm 416741 10 454525mm 416743 10 454528mm 416745 10 454532mm 416747 10 454535mm 416749 10 451338mm 416751 10 4545

Standard - clear with filterpre-cut 22mm 416740 10 4545

25mm 416742 10 454528mm 416744 10 454532mm 416746 10 454535mm 416748 10 4545

Esteem+ Flex Convex Drainable pouch30mm Plateau

cut-to-fit 20-25mm 421622 10 453340mm Plateau

cut-to-fit 20-35mm 421619 10 4533pre-cut 25mm 421620 10 4533

30mm 421621 10 453350mm Plateau

cut-to-fit 20-43mm 421615 10 4533pre-cut 25mm 421616 10 4533

30mm 421617 10 453335mm 421618 10 4533

60mm Plateaucut-to-fit 20-57mm 422159 10 4499

Esteem+ Soft Convex Drainable PouchCut-to-fit 10mm-28mm 422365 10 4228

15mm-40mm 422364 10 422820mm-47mm 422363 10 4228

735

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

ConvaTec Ltd Ileodress PouchesSmall SizeOpaque 19mm starter hole S851 10 2724

25mm starter hole S852 10 272432mm starter hole S853 10 272438mm starter hole S855 10 2724

Standard SizeClear 19mm starter hole S841 10 2755

38mm precut S845 10 275545mm precut S846 10 2755

Standard SizeOpaque 19mm starter hole S831 10 2755

25mm precut S832 10 275532mm precut S833 10 275538mm precut S835 10 275545mm precut S836 10 275550mm precut S837 10 2755

Ileodress Plus - with modified Stomahesive wafer, perforated plastic backing andbeige clip pouches

Standard SizeClear 19mm starter hole S420 10 2755

38mm pre-cut S423 10 2755Opaque 19mm starter hole S411 10 2755

25mm pre-cut S412 10 275532mm pre-cut S413 10 275538mm pre-cut S414 10 275545mm pre-cut S415 10 275550mm pre-cut S416 10 2755

Small SizeOpaque 19mm starter hole S430 10 2432

Little-OnesMini Size 8mm starter hole S880 15 3790

Stomadress PouchesClear 8mm starter hole S439 10 2679

Manufacturer Appliance Order No. Quantity List Price p

736

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac InVent ConvexIntegral convexity drainable bag with filter, soft spunlace cover front and back,anatomically shapedOpaque

starter hole 15-24mm 341-24 10 276315-37mm 341-37 10 276315-46mm 341-46 10 2763

pre-cut 25mm 341-25 10 276330mm 341-30 10 276335mm 341-35 10 2763

Dansac InVent Symm ConvexIntegral convexity drainable bag with filter, soft spunlace cover front and back(opaque) and back only (clear) symmetrically shapedOpaque

starter hole 15-24mm 343-24 10 276315-37mm 343-37 10 276315-46mm 343-46 10 2763

pre-cut 25mm 343-25 10 276330mm 343-30 10 276335mm 343-35 10 2763

Clearstarter hole 15-24mm 344-24 10 2763

15-37mm 344-37 10 276315-46mm 344-46 10 2763

pre-cut 25mm 344-25 10 276330mm 344-30 10 2763

Dansac Nova 1 Convex EasiFold Drainable with integral 6mm convexity.Opaque

cut-to-fit 15-24mm 841-24 10 419915-37mm 841-37 10 419915-46mm 841-46 10 4199

pre-cut 20mm 841-20 10 419925mm 841-25 10 419930mm 841-30 10 419935mm 841-35 10 4199

Clearcut-to-fit 15-24mm 842-24 10 4199

15-37mm 842-37 10 419915-46mm 842-46 10 4199

737

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pDansac Ltd Dansac Nova 1 Drainable

With twin filter and water repellent soft covers includes increased outlet.AnatomicalOpaquecut-to-fit 15-60mm 811-15 30 7840ClearCut-to-fit 15-60mm 812-15 30 7840

SymmetricalOpaquecut-to-fit 15-60mm 813-15 30 7840Clearcut-to-fit 15-60mm 814-15 30 7840

Dansac Nova 1 Drainable Infant.One piece drainable ostomy pouch with flange openingClearcut-to-fit 0-40mm 818-00 30 7507

10-40mm 818-10 30 7507

Dansac Nova 1 Drainable with EasiFold closure.With Twin filter and water repellent soft coversSymmetricalOpaquecut-to-fit 15-60mm 823-15 30 9047

20-60mm 823-20 30 904725-60mm 823-25 30 904730-60mm 823-30 30 904735-60mm 823-35 30 904740-60mm 823-40 30 904745-60mm 823-45 30 9047

Clearcut-to-fit 15-60mm 824-15 30 9059

Dansac Nova 1 EasiFold X3 DrainableClearcut-to-fit 15-46mm 862-15 10 4205Opaquecut-to-fit 15-46mm 861-15 10 4205pre-cut

25mm 861-25 10 420530mm 861-30 10 420535mm 861-35 10 4205

Dansac Nova 1 Maxi EasiFoldDrainable bag, twin filter and soft covers front and back, plus integrated closuresystem

Opaquecut-to-fit 15-90mm 815-15 10 3025Clearcut-to-fit 15-90mm 816-15 10 3025

Dansac Nova 1 Mini EasiFold Drainable bag. Twin filter and soft covers front and back. Plus Integrated Closure System.

Clearcut-to-fit 15-50mm 826-15 30 9063Opaquecut-to-fit 15-50mm 825-15 30 9063

738

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac Nova 1 Soft Convex EasiFold Drainable with 5mm integral convexity Opaquepre-cut 25mm 881-25 10 4199

30mm 881-30 10 419935mm 881-35 10 4199

Clearpre-cut 25mm 882-25 10 4199

30mm 882-30 10 419935mm 882-35 10 4199

Dansac Nova 1 Soft Convex High Output with 5mm integral convexity, drainablebag with twin filters, soft covers and soft-tap closureClearpre-cut 25mm 820-25 10 3343

30mm 820-30 10 334335mm 820-35 10 3343

Dansac NovaLife 1 Open pouchMidiClearcut-to-fit 10-55/70mm 924-10 30 10120 K

25-55/70mm 924-25 30 10120 K

30-55/70mm 924-30 30 10120 K

35-55/70mm 924-35 30 10120 K

40-55/70mm 924-40 30 10120 K

45-55/70mm 924-45 30 10120 K

Opaquecut-to-fit 10-55/70mm 923-10 30 10120 K

25-55/70mm 923-25 30 10120 K

30-55/70mm 923-30 30 10120 K

35-55/70mm 923-35 30 10120 K

40-55/70mm 923-40 30 10120 K

45-55/70mm 923-45 30 10120 K

MiniClearcut-to-fit 10-38/50mm 926-10 30 10120 K

Opaquecut-to-fit 10-38/50mm 925-10 30 10120 K

MaxiClearcut-to-fit 10-70/90mm 916-10 10 3373 K

Opaquecut-to-fit 10-70/90mm 915-10 10 3373 K

25-70/90mm 915-25 10 3373 K

30-70/90mm 915-30 10 3373 K

35-70/90mm 915-35 10 3373 K

739

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife 1 Convex Open pouchOpaqueMini

cut-to-fit 10-24mm 941-24 10 468120-24mm 941-20 10 4681

pre-cut 25mm 941-25 10 4681Midi

cut-to-fit 10-37mm 941-37 10 468110-46mm 941-46 10 468130-37mm 941-30 10 468140-46mm 941-40 10 4681

pre-cut 35mm 941-35 10 468145mm 941-45 10 4681

Maxicut-to-fit 10-59mm 941-59 10 4681

50-59mm 941-50 10 4681ClearMini

cut-to-fit 10-24mm 942-24 10 468120-24mm 942-20 10 4681

pre-cut 25mm 942-25 10 4681Midi

cut-to-fit 10-37mm 942-37 10 468110-46mm 942-46 10 468130-37mm 942-30 10 468140-46mm 942-40 10 4681

pre-cut 35mm 942-35 10 468145mm 942-45 10 4681

Maxicut-to-fit 10-59mm 942-59 10 4681

50-59mm 942-50 10 4681

Dansac NovaLife 1 Convex Open pouch with Viewing OptionOpaqueMidicut-to-fit 10-24mm 9410-24 10 4621 K

10-37mm 9410-37 10 461510-46mm 9410-46 10 461520-24mm 9410-20 10 4621 K

30-37mm 9410-30 10 4621 K

40-46mm 9410-40 10 4621 K

pre-cut 25mm 9410-25 10 4621 K

35mm 9410-35 10 4621 K

45mm 9410-45 10 4621 K

Maxicut-to-fit 10-59mm 9410-59 10 4615

50-59mm 9410-50 10 4621 K

740

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac NovaLife 1 Open pouch with Viewing OptionOpaqueMidicut-to-fit 10-55/70mm 9230-10 30 9927

25-55/70mm 9230-25 30 9941 K

30-55/70mm 9230-30 30 9941 K

35-55/70mm 9230-35 30 9941 K

40-55/70mm 9230-40 30 9941 K

45-55/70mm 9230-45 30 9941 K

Maxicut-to-fit 10-70/90mm 9150-10 10 3309

25-70/90mm 9150-25 10 3314 K

30-70/90mm 9150-30 10 3314 K

35-70/90mm 9150-35 10 3314 K

Dansac NovaLife 1 Open Soft Convex with Viewing OptionOpaqueMidicut-to-fit 15-24mm 981-24 10 4635

15-34mm 981-34 10 4635pre-cut 25mm 981-25 10 4635

30mm 981-30 10 463535mm 981-35 10 4635

Maxicut-to-fit 15-24mm 983-24 10 4635

15-34mm 983-34 10 463515-44mm 981-44 10 463515-54mm 981-54 10 4635

pre-cut 25mm 983-25 10 463530mm 983-30 10 463535mm 983-35 10 463540mm 981-40 10 463545mm 981-45 10 4635

Dansac NovaLife TRE 1 openMiniClearcut-to-fit 15-38/50mm 3026-15 30 10749Opaquecut-to-fit 15-38/50mm 3025-15 30 10749MidiClearcut-to-fit 15-55/70mm 3024-15 30 10749

P 25-55/70mm 3024-25 30 10749P 30-55/70mm 3024-30 30 10749P 35-55/70mm 3024-35 30 10749

Pto be deleted 1 January 2020

741

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd MaxiClearcut-to-fit 15-55/70mm 3018-15 10 3583

15-70/90mm 3016-15 10 3583

with viewing optionMidicut-to-fit 15-55/70mm 3023-15 30 10749

25-55/70mm 3023-25 30 1074930-55/70mm 3023-30 30 1074935-55/70mm 3023-35 30 10749

P 40-55/70mm 3023-40 30 10749Maxicut-to-fit 15-55/70mm 3017-15 10 3583

25-55/70mm 3017-25 10 358330-55/70mm 3017-30 10 358315-70/90mm 3015-15 10 358325-70/90mm 3015-25 10 358330-70/90mm 3015-30 10 3583

Dansac NovaLife TRE 1 open convexMiniOpaquecut-to-fit 15-24mm 3041-24 10 4820Clearcut-to-fit P15-24mm 3042-24 10 4820MidiClearcut-to-fit 15-24mm 3046-24 10 4820

15-37mm 3042-37 10 482015-46mm 3042-46 10 4820

P 30-37mm 3042-30 10 4820Maxicut-to-fit 15-59mm 3042-59 10 4820

Pto be deleted 1 January 2020

742

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd with viewing optionMidicut-to-fit 15-24mm 3045-24 10 4820

15-37mm 3041-37 10 482015-46mm 3041-46 10 482030-37mm 3041-30 10 482040-46mm 3041-40 10 4820

pre-cut 25mm 3045-25 10 482035mm 3041-35 10 4820

Maxicut-to-fit 15-59mm 3041-59 10 4820

Dansac NovaLife TRE 1 Open Soft Convex with viewing optionBeigeMidicut-to-fit 15-24mm 3081-24 10 4870

15-34mm 3081-34 10 4870pre-cut 25mm 3081-25 10 4870

30mm 3081-30 10 487035mm 3081-35 10 4870

Maxicut-to-fit 15-24mm 3083-24 10 4870

15-34mm 3083-34 10 487015-44mm 3081-44 10 487015-54mm 3081-54 10 4870

pre-cut 25mm 3083-25 10 487030mm 3083-30 10 487035mm 3083-35 10 487040mm 3081-40 10 487045mm 3081-45 10 4870

Invent Drainable with filter, soft spunlace material on both sides anatomicallyOpaquecut-to-fit 15-60mm 339-15 30 7868pre-cut 20mm 339-20 30 7868

25mm 339-25 30 786830mm 339-30 30 786835mm 339-35 30 786840mm 339-40 30 7868

743

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd InVent Mini Drainable with filter, soft spunlace material on both sides, anatomicallyshapedOpaquecut-to-fit 15-50mm 335-15 30 7888

InVent Symmetrical Drainable with filter, soft spunlace cover front and back(opaque) and back only (clear), symmetrically shapedClearcut-to-fit 15-60mm 338-15 30 7725Opaquecut-to-fit 15-60mm 337-15 30 7725

UniqueMaxi Clearcut-to-fit 10mm-90mm 324-10 10 2727Opaque starter hole 321-15 30 7613Clear starter hole 322-15 30 7613

Mini opaque (reference capacity: 250ml (see Note 2, page 608))cut-to-fit 15mm-50mm 315-15 30 7500

Mini clear (reference capacity: 250ml (see Note 2, page 608))cut-to-fit 15mm-50mm 316-15 30 7349Oval flange

Opaque starter hole 317-15 30 7613Clear starter hole 318-15 30 7613

DBT Medical Birkbeckwith Screwcap outletBlack RubberDay Bag 19mm LM 723225 1 3147

38mm LM 723230 1 314754mm LM 723235 1 3093

Night Bag 19mm LM 723275 1 359938mm LM 723280 1 359954mm LM 723295 1 3599

Disposable Plastic Bag LM 724000 100 1834

Pink RubberDay Bag 19mm LM 724225 1 3147

38mm LM 724230 1 309354mm LM 724235 1 3093

Night Bag 19mm LM 724275 1 359938mm LM 724280 1 359954mm LM 724295 1 3599

744

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

DBT Medical White Rubberwith Screwcap outlet

Day Bag38mm LM 882111 1 141044mm LM 882112 1 141051mm LM 882113 1 1410

with air vent38mm LM 882114 1 1685

on body side38mm LM 882115 1 1521

Child’sDay Bag

19mm LM 882101 1 135925mm LM 882102 1 135928mm LM 882103 1 1359

Night Bag19mm LM 882121 1 166225mm LM 882122 1 166228mm LM 882123 1 1662

Hollister Ltd Compact Drainable PouchBeige-with beige comfort backing on both sidescut-to-fit 13-64mm 3251 10 2762

25mm 3252 10 276232mm 3258 10 276238mm 3253 10 2762

Impression with Convex waferTransparent

29mm 3613 10 298532mm 3614 10 298538mm 3616 10 298541mm 3617 10 2985

Impression "C" with convex waferBeige with beige Comfort backing on both sides

19mm 3260 10 286522mm 3261 10 286525mm 3262 10 286529mm 3263 10 286532mm 3264 10 2865

Transparent with beige Comfort backing on body worn side19mm 3280 10 2813

745

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd Karaya 5 seal

with microporous adhesive229mm Length

32mm 3138 30 9265 38mm 3133 30 9265 44mm 3139 30 9265

30.5cm LengthOpaque 25mm 3112 30 9010

32mm 3118 30 9010 38mm 3113 30 9010 44mm 3119 30 9010 51mm 3114 30 9010 64mm 3115 30 9010

30.5cm LengthTransparent

25mm 3222 30 9265 32mm 3228 30 9265 38mm 3223 30 9265 44mm 3229 30 9265 51mm 3224 30 9265 64mm 3225 30 9265

X 76mm 3226 30 926541cm LengthTransparent

32mm 3278 30 926538mm 3273 30 926544mm 3279 30 926551mm 3274 30 926564mm 3275 30 9265

Moderma FlexMaxi Drainable Pouch with integral convexity, FlexWear skin barrier, adhesiveborder, integral filter and Lock ‘n’ Roll closure system

Beigecut-to-fit 15-38mm 56800 30 14583

15-51mm 56801 30 1458315-25mm 56802 30 14583

pre-cut 25mm 56825 30 1458330mm 56830 30 1458335mm 56835 30 1458340mm 56840 30 1458345mm 56845 30 14583

Transparentcut-to-fit 15-38mm 56900 30 14583

15-51mm 56901 30 1458315-25mm 56902 30 14583

pre-cut 30mm 56930 30 1458335mm 56935 30 14583

Drainable Pouch with skin resting barrier, filter, transparent front. Anatomicalshape.

Beige comfort backing on body worn side.starter hole 15-55mm 26500 30 8068

Xto be deleted 1 December 2019

746

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Drainable Pouch with skin-resting barrier, filter. Anatomical shape.Beige comfort backing on both sides.starter hole

15-55mm 26200 30 8068

Drainable Pouch with FlexWear skin barrier and adhesive border, Viewing Option,Lock ‘n’ Roll closure system and AF300 filter

Beigecut-to-fitMidi 15-64mm 5625064 30 10732Maxi 15-64mm 5834064 30 10732

Maxi Drainable Pouch with FlexWear skin barrier, adhesive border, integral filterand Lock ‘n’ Roll closure system

Beigecut-to-fit 15-64mm 58300 30 10866pre-cut 25mm 58325 30 10866

30mm 58330 30 1086635mm 58335 30 1086640mm 58340 30 10866

Transparentcut-to-fit 15-64mm 58400 30 10866pre-cut 25mm 58425 30 10866

30mm 58430 30 1086635mm 58435 30 10866

Moderma Flex CeraPlusDrainable Pouch with adhesive border, AF300 filter and Lock ‘n’ Roll microseal

Midi - Beige with Viewing Optioncut-to-fit 15-64mm 54200 30 10758pre-cut 25mm 54225 30 10758

30mm 54230 30 1075835mm 54235 30 10758

Maxi - Beige with Viewing Optioncut-to-fit 15-64mm 54300 30 10758pre-cut 25mm 54325 30 10758

30mm 54330 30 1075835mm 54335 30 10758

Midi - Transparentcut-to-fit 15-64mm 53500 30 10758pre-cut 25mm 53525 30 10758

30mm 53530 30 1075835mm 53535 30 10758

Maxi - Transparentcut-to-fit 15-64mm 53400 30 10758pre-cut 25mm 53425 30 10758

30mm 53430 30 1075835mm 53435 30 10758

747

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Hollister Ltd Moderma Flex CeraPlus ConvexDrainable Pouch with adhesive border, AF300 filter and Lock ‘n’ Roll microseal

Midi - Beige with Viewing Optioncut-to-fit 15-38mm 54600 30 14589

15-51mm 54601 30 1458915-25mm 54602 30 14589

pre-cut 25mm 54625 30 1458930mm 54630 30 1458935mm 54635 30 14589

Maxi - Beige with Viewing Optioncut-to-fit 15-38mm 54800 30 14589

15-51mm 54801 30 1458915-25mm 54802 30 14589

pre-cut 25mm 54825 30 1458930mm 54830 30 1458935mm 54835 30 14589

Midi - Transparentcut-to-fit 15-38mm 53700 30 14589

15-51mm 53701 30 1458915-25mm 53702 30 14589

pre-cut 30mm 53730 30 1458935mm 53735 30 14589

Maxi - Transparentcut-to-fit 15-38mm 53900 30 14589

15-51mm 53901 30 1458915-25mm 53902 30 14589

pre-cut 30mm 53930 30 1458935mm 53935 30 14589

Manufacturer Appliance Order No. Quantity List Price p

748

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Moderma Flex CeraPlus Soft ConvexDrainable Pouch with adhesive border, AF300 filter and Lock ‘n’ Roll microseal

Midi - Beige with Viewing Optioncut-to-fit 15-38mm 54000 30 14589

15-55mm 54001 30 1458915-25mm 54002 30 14589

pre-cut 25mm 54025 30 1458930mm 54030 30 1458935mm 54035 30 14589

Maxi - Beige with Viewing Optioncut-to-fit 15-38mm 54100 30 14589

15-55mm 54101 30 1458915-25mm 54102 30 14589

pre-cut 25mm 54125 30 1458930mm 54130 30 1458935mm 54135 30 14589

Midi - Transparentcut-to-fit 15-38mm 53000 30 14589

15-55mm 53001 30 1458915-25mm 53002 30 14589

pre-cut 25mm 53025 30 1458930mm 53030 30 1458935mm 53035 30 14589

Maxi - Transparentcut-to-fit 15-38mm 53100 30 14589

15-55mm 53101 30 1458915-25mm 53102 30 14589

pre-cut 25mm 53125 30 1458930mm 53130 30 1458935mm 53135 30 14589

Moderma Flex ConvexDrainable pouch with integral convexity, symmetrical shape, integral filter and Lockand Roll closure system

Maxi - Beige with comfort backing on both sidescut-to-fit 15-38mm 26800 30 11885

15-51mm 26801 30 11885pre-cut 20mm 26820 30 11885

25mm 26825 30 1188530mm 26830 30 1188535mm 26835 30 11885

Maxi - Transparent with comfort backing on body worn sidecut-to-fit 15-38mm 26900 30 11885

15-51mm 26901 30 11885pre-cut 20mm 26920 30 11885

25mm 26925 30 1188530mm 26930 30 1188535mm 26935 30 11885

749

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Hollister Ltd Drainable Pouch with FlexWear skin barrier and adhesive border, Viewing OptionLock ‘n’ Roll closure system and AF300 filter

Maxi - Beigecut-to-fit 15-25mm 5683025 30 14415

15-38mm 5683038 30 1441515-51mm 5683051 30 14415

pre-cut 20mm 5683120 30 1441525mm 5683125 30 1441530mm 5683130 30 1441535mm 5683135 30 1441540mm 5683140 30 1441545mm 5683145 30 14415

Moderma Flex High OutputPouch with filter and soft drain tap

Transparentcut-to-fit 15-64mm 26064 10 3354

Moderma Flex Soft ConvexMidi Drainable Pouch with Viewing Option, FlexWear skin barrier, soft convex adhesive border, integral filter and Lock ‘n’ Roll closure system

Beigecut-to-fit 15-25mm 5681025 10 4865

15-38mm 5681038 10 486515-55mm 5681055 10 4865

pre-cut 20mm 5681120 10 486525mm 5681125 10 486530mm 5681130 10 486535mm 5681135 10 486540mm 5681140 10 4865

Maxi Drainable Pouch with Viewing Option, FlexWear skin barrier, soft convex adhesive border, integral filter and Lock ‘n’ Roll closure system

Transparentcut-to-fit 15-25mm 5691025 10 4865

15-38mm 5691038 10 486515-55mm 5691055 10 4865

pre-cut 20mm 5691120 10 486525mm 5691125 10 486530mm 5691130 10 486535mm 5691135 10 486540mm 5691140 10 4865

Moderma Flex with Lock ‘n’ Roll ClosureMini Drainable Pouch, symmetrical shape with integral filter and Lock and Rollclosure system

Beige comfort backing on both sidescut-to-fit 15-55mm 28100 30 7978

25mm 28125 30 797830mm 28130 30 797835mm 28135 30 7978

Manufacturer Appliance Order No. Quantity List Price p

750

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd Drainable Pouch, anatomical shape, flexible barrier plus integral filter and Lock and

Roll closure system.Midi - Beige with comfort backing on both sidescut-to-fit 15-55mm 28200 30 9051

20mm 28220 30 905125mm 28225 30 905130mm 28230 30 905135mm 28235 30 905140mm 28240 30 9051

Midi - Transparent with comfort backing on body side onlycut-to-fit 15-55mm 28500 30 9051

Drainable Pouch, symmetrical shape, flexible barrier plus integral filter and Lockand Roll closure system

Maxi - Beige with comfort backing on both sidescut-to-fit 15-55mm 28300 30 9217

25mm 28325 30 921730mm 28330 30 921735mm 28335 30 921740mm 28340 30 9217

Maxi - Transparent with comfort backing on body side onlycut-to-fit 15-55mm 28400 30 9217

Drainable Pouch with Viewing Option, SoftFlex skin barrier and integral AF300 filterMidi - Beige with comfort backing on both sidescut-to-fit 15-55mm 2824055 30 8987Maxi - Beige with comfort backing on both sidescut-to-fit 15-55mm 2834055 30 9152Maxi drainable pouch with oval barrierBeigecut-to-fit 15-65/75mm 2834001 30 8341

Drainable Pouch with Integral Convexity, Viewing Option, SoftFlex skin barrier andintegral AF300 filter

Maxi - Beige with comfort backing on both sidescut-to-fit 15-38mm 2683038 30 11802

15-51mm 2683051 30 11802pre-cut 20mm 2683120 30 11802

25mm 2683125 30 1180230mm 2683130 30 1180235mm 2683135 30 11802

Maxi drainable pouch with oval barrier, integral filter and Lock and Roll closuresystem. Symmetrical shape.

Beige pre-cut 15-65/75mm 28301 30 8401Transparentpre-cut 15-65/75mm 28401 30 8401

PouchkinsNewborn size drainable pouch clear with tap closurecut-to-fit 0-35mm 3778 15 3501Infant size drainable pouch clear, Lock and Roll closurecut-to-fit 0-38mm 3796 10 2768Child size drainable pouch clear, Lock and Roll closurecut-to-fit 0-50mm 3795 10 3093

751

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd Premium

with integral filter holder and twenty replacement filters32mm 3668 15 495938mm 3663 15 495944mm 3669 15 4959

N 51mm 3664 15 495964mm 3665 15 4959

Jade-Euro-Med Ltd Black ButylSpout outlet

Day Bag KM 42 1 3678Night Bag KM 43 1 3678

ChironBlack Butyl Screw Cap Outlet

Day Bag 38mm WF005-38-W 1 413344mm WF005-44-R 1 4133

Night Bag 38mm WF025-38-H 1 496044mm WF025-44-C 1 4960

Latex Rubber Screw cap outletDay Bag 38mm WF003-38-N 1 2100Night Bag 38mm WF023-38-Y 1 2778

White Rubber Screw cap outletDay Bag 38mm WF001-38-E 1 2380

44mm WF001-44-Y 1 238051mm WF001-51-V 1 2380

Night Bag 38mm WF021-38-Q 1 2778Screw cap outlet on body side

Day Bag 38mm WF002-38-J 1 2380Night Bag 38mm WF031-01-V 1 2274Children'sBag

38mm WF011-38-K 1 1878

Marlen Healthcare Ltd

SuperFlat Drainable Pouch with Split CoverBeige starter hole 12mm-55mm 1534 30 7546

SuperFlat Mini Drainable Pouch with Split CoverBeigestarter hole 12mm-55mm 1534M 30 7546

UltraLite Ileostomy BagOpaque starter hole 501312 15 3396Flat pre-cut 12mm 501412 15 3396

16mm 501416 15 339619mm 501419 15 339622mm 501422 15 339625mm 501425 15 339629mm 501429 15 339632mm 501432 15 339634mm 501434 15 339638mm 501438 15 339641mm 501441 15 339644mm 501444 15 339648mm 501448 15 339650mm 501450 15 339654mm 501454 15 339657mm 501457 15 339660mm 501460 15 339663mm 501463 15 339667mm 501467 15 339670mm 501470 15 339673mm 501473 15 339676mm 501476 15 3396

Nto be deleted 1 February 2020

752

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd

Shallow Convex Flange pre-cutOpaque 12mm 501512 15 3475

16mm 501516 15 347519mm 501519 15 347522mm 501522 15 347525mm 501525 15 347529mm 501529 15 347532mm 501532 15 347534mm 501534 15 347538mm 501538 15 347541mm 501541 15 347544mm 501544 15 347548mm 501548 15 347550mm 501550 15 347554mm 501554 15 347557mm 501557 15 347560mm 501560 15 347563mm 501563 15 347567mm 501567 15 347570mm 501570 15 347573mm 501573 15 347576mm 501576 15 3475

UltraLite Ileostomy Bag Transparent starter hole 561312 10 2620Flat pre-cut 12mm 561412 10 2620

16mm 561416 10 262019mm 561419 10 262022mm 561422 10 262025mm 561425 10 262029mm 561429 10 262032mm 561432 10 262034mm 561434 10 262038mm 561438 10 262041mm 561441 10 262044mm 561444 10 262048mm 561448 10 262050mm 561450 10 262054mm 561454 10 262057mm 561457 10 262060mm 561460 10 262063mm 561463 10 262067mm 561467 10 262070mm 561470 10 262073mm 561473 10 262076mm 561476 10 2620

753

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Marlen Healthcare Ltd

Transparent Shallow Convexpre-cut 12mm 561512 10 2620

16mm 561516 10 262019mm 561519 10 262022mm 561522 10 262025mm 561525 10 262029mm 561529 10 262032mm 561532 10 262034mm 561534 10 262038mm 561538 10 262041mm 561541 10 262044mm 561544 10 262048mm 561548 10 262050mm 561550 10 262054mm 561554 10 262057mm 561557 10 262060mm 561560 10 262063mm 561563 10 262067mm 561567 10 262070mm 561570 10 262073mm 561573 10 262076mm 561576 10 2620

UltraLite Ileostomy Bag with Deep Convex FlangeOpaquepre-cut 12mm 501612 10 2620

16mm 501616 10 262019mm 501619 10 262022mm 501622 10 262025mm 501625 10 262029mm 501629 10 262032mm 501632 10 262034mm 501634 10 262038mm 501638 10 262041mm 501641 10 262044mm 501644 10 2620

Transparentpre-cut 12mm 561612 10 2620

16mm 561616 10 262019mm 561619 10 262022mm 561622 10 262025mm 561625 10 262029mm 561629 10 262032mm 561632 10 262034mm 561634 10 262038mm 561638 10 262041mm 561641 10 262044mm 561644 10 2620

Manufacturer Appliance Order No. Quantity List Price p

754

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd

UltraMaxOpaque

Flat starter hole 53400 30 727512mm 53412 30 727516mm 53416 30 727519mm 53419 30 727522mm 53422 30 727525mm 53425 30 727529mm 53429 30 727532mm 53432 30 727534mm 53434 30 727538mm 53438 30 727541mm 53441 30 727544mm 53444 30 727550mm 53450 30 727555mm 53455 30 7275Convex starter hole 53500 10 271512mm 53512 10 271516mm 53516 10 271519mm 53519 10 271522mm 53522 10 271525mm 53525 10 271529mm 53529 10 271532mm 53532 10 271534mm 53534 10 271538mm 53538 10 2715

TransparentFlat starter hole 52400 30 727512mm 52412 30 727516mm 52416 30 727519mm 52419 30 727522mm 52422 30 727525mm 52425 30 727529mm 52429 30 727532mm 52432 30 727534mm 52434 30 727538mm 52438 30 727541mm 52441 30 727544mm 52444 30 727550mm 52450 30 727555mm 52455 30 7275Convex starter hole 52500 10 271512mm 52512 10 271516mm 52516 10 271519mm 52519 10 271522mm 52522 10 271525mm 52525 10 271529mm 52529 10 271532mm 52532 10 271534mm 52534 10 271538mm 52538 10 2715

755

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pMarlen Healthcare Ltd

UltraMax with FilterWith Split Cover

Flat starter hole 53400F 30 745419mm 53419F 30 745425mm 53425F 30 745432mm 53432F 30 745438mm 53438F 30 745444mm 53444F 30 745450mm 53450F 30 745455mm 53455F 30 7454Convex starter hole 53500F 10 278319mm 53519F 10 278325mm 53525F 10 278332mm 53532F 10 278338mm 53538F 10 2783

TransparentFlat starter hole 52400F 30 745419mm 52419F 30 745425mm 52425F 30 745432mm 52432F 30 745438mm 52438F 30 745444mm 52444F 30 745450mm 52450F 30 745455mm 52455F 30 7454Convex starter hole 52500F 10 278319mm 52519F 10 278325mm 52525F 10 278332mm 52532F 10 278338mm 52538F 10 2783

UltraMax Atlas Deep Convex Drainable pouchClear with filter

12mm 52612 10 416019mm 52619 10 416022mm 52622 10 416025mm 52625 10 416032mm 52632 10 416038mm 52638 10 416045mm 52645 10 4160

Beige Split cover with filter12mm 53612 10 436019mm 53619 10 436022mm 53622 10 436025mm 53625 10 436032mm 53632 10 436038mm 53638 10 436045mm 53645 10 4360

UltraMax PlusClear

cut-to-fit 12mm-80mm 8524 30 8700Covered

cut-to-fit 12mm-80mm 8534 30 8700

Ultra MiniMax with FilterWith Split CoverFlat starter hole 12mm-55mm 534M 30 8962Convex starter hole 12mm-38mm 535M 10 4097TransparentFlat starter hole 12mm-55mm 524M 30 8860Convex starter hole 12mm-38mm 525M 10 4050

756

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Alginate Soft Convex Ileostomy Pouch with Window, Filter, Soft Coveringto both sides and soft touch closure

Opaque25mm Diametercut-to-fit 20mm SCA25-4120KV 20 935435mm Diametercut-to-fit 20mm SCA35-4120KV 20 9354

25mm SCA35-4125KV 20 9354pre-cut 30mm SCA35-4130KV 20 935445mm Diametercut-to-fit 20mm SCA45-4120KV 20 9354

25mm SCA45-4125KV 20 935435mm SCA45-4135KV 20 9354

pre-cut 30mm SCA45-4130KV 20 935440mm SCA45-4140KV 20 9354

Option - Bi-Form Ileostomy Midi with Window, Filter and Soft Covering to both sidesand soft touch closure

Opaquestarter hole 20mm BFV-4320K 30 9767pre-cut 25mm BFV-4325K 30 9767

30mm BFV-4330K 30 976735mm BFV-4335K 30 976740mm BFV-4340K 30 976745mm BFV-4345K 30 9767

Option - Bi-Form Ileostomy Pouches with Window, Filter and Soft Covering to bothsides and soft touch closure

Opaquestarter hole 20mm BFV-4120K 30 9767pre-cut 25mm BFV-4125K 30 9767

30mm BFV-4130K 30 976735mm BFV-4135K 30 976740mm BFV-4140K 30 976745mm BFV-4145K 30 9767

Option - Drainable Hydrocolloid High Output Soft Convex Pouch with Window, Filter, Soft Covering to both sides and bung closure

Opaque25mm Plateaucut-to-fit 15-24mm SCHV25-4115K 10 462335mm Plateaucut-to-fit 15-34mm SCHV35-4115K 10 462345mm Plateaucut-to-fit 15-44mm SCHV45-4115K 10 4623

Option - Ileo Microskin MiniOpaquecut-to-fit 13mm-50mm M-2610K 30 7651

757

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Ileostomy with Filter and Soft Covering to one sideClearstarter hole 20mm 3020K 30 7319

25mm 3025K 30 731930mm 3030K 30 731935mm 3035K 30 731940mm 3040K 30 731945mm 3045K 30 731950mm 3050K 30 731955mm 3055K 30 731960mm 3060K 30 7319

Opaquestarter hole 20mm 3120K 30 7319

25mm 3125K 30 731930mm 3130K 30 731935mm 3135K 30 731940mm 3140K 30 731945mm 3145K 30 731950mm 3150K 30 731955mm 3155K 30 731960mm 3160K 30 7319

Option - Ileostomy with Filter and Soft Covering to both sidesOpaquestarter hole 20mm 4120K 30 7644

25mm 4125K 30 764430mm 4130K 30 764435mm 4135K 30 764440mm 4140K 30 764445mm 4145K 30 764450mm 4150K 30 764455mm 4155K 30 764460mm 4160K 30 7644

Option - Ileostomy with Soft Covering to one sideClearstarter hole 20mm 2020K 30 6970

25mm 2025K 30 697030mm 2030K 30 697035mm 2035K 30 697040mm 2040K 30 697045mm 2045K 30 697050mm 2050K 30 697055mm 2055K 30 697060mm 2060K 30 6970

Opaquestarter hole 20mm 2120K 30 6970

25mm 2125K 30 697030mm 2130K 30 697035mm 2135K 30 697040mm 2140K 30 697045mm 2145K 30 697050mm 2150K 30 697055mm 2155K 30 697060mm 2160K 30 6970

758

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Ileostomy with soft touch closureOpaquestarter hole 20mm V-4120K 30 9222

25mm V-4125K 30 922230mm V-4130K 30 922235mm V-4135K 30 922240mm V-4140K 30 922245mm V-4145K 30 922250mm V-4150K 30 922255mm V-4155K 30 922260mm V-4160K 30 9222

Option - Ileostomy Alginate with soft touch closureOpaquestarter hole 20mm AV-4120K 30 9222

25mm AV-4125K 30 922230mm AV-4130K 30 922235mm AV-4135K 30 922240mm AV-4140K 30 922245mm AV-4145K 30 922250mm AV-4150K 30 922255mm AV-4155K 30 922260mm AV-4160K 30 9222

Option - Ileostomy Microskin with soft touch closureOpaquestarter hole 20mm MV-4120K 30 9222

25mm MV-4125K 30 922230mm MV-4130K 30 922235mm MV-4135K 30 922240mm MV-4140K 30 922245mm MV-4145K 30 922250mm MV-4150K 30 9222

Option - Ileostomy Microskin with window, Filter and Soft Covering to both sidesOpaquestarter hole 20mm M-4120K 30 8846

25mm M-4125K 30 884630mm M-4130K 30 884635mm M-4135K 30 884640mm M-4140K 30 884645mm M-4145K 30 884650mm M-4150K 30 8846

759

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Oakmed Ltd Option - Ileostomy Midi with Filter and Soft Covering to one side Clearstarter hole 20mm 3220K 30 6922

25mm 3225K 30 692230mm 3230K 30 692235mm 3235K 30 692240mm 3240K 30 692245mm 3245K 30 692250mm 3250K 30 692255mm 3255K 30 692260mm 3260K 30 6922

Opaquestarter hole 20mm 3320K 30 6922

25mm 3325K 30 692230mm 3330K 30 692235mm 3335K 30 692240mm 3340K 30 692245mm 3345K 30 692250mm 3350K 30 692255mm 3355K 30 692260mm 3360K 30 6922

Option - Ileostomy Midi with Filter and Soft Covering to both sides Opaquestarter hole 20mm 4320K 30 7257

25mm 4325K 30 725730mm 4330K 30 725735mm 4335K 30 725740mm 4340K 30 725745mm 4345K 30 725750mm 4350K 30 725755mm 4355K 30 725760mm 4360K 30 7257

Option - Ileostomy Midi with Soft Covering to one side, Filter and soft touch closureClear starter hole 20mm V-3220K 30 9222

25mm V-3225K 30 922230mm V-3230K 30 922235mm V-3235K 30 922240mm V-3240K 30 922245mm V-3245K 30 922250mm V-3250K 30 922255mm V-3255K 30 922260mm V-3260K 30 9222

Manufacturer Appliance Order No. Quantity List Price p

760

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Ileostomy Midi with window, filter, soft covering to both sides and soft touchclosure

Opaquestarter hole 20mm V-4320K 30 9222pre-cut 25mm V-4325K 30 9222

30mm V-4330K 30 922235mm V-4335K 30 922240mm V-4340K 30 922245mm V-4345K 30 922250mm V-4350K 30 922255mm V-4355K 30 922260mm V-4360K 30 9222

Option - Ileostomy Midi Alginate with Window, filter, soft covering to both sides andsoft touch closure

Opaquestarter hole 20mm AV-4320K 30 9222pre-cut 25mm AV-4325K 30 9222

30mm AV-4330K 30 922235mm AV-4335K 30 922240mm AV-4340K 30 922245mm AV-4345K 30 922250mm AV-4350K 30 922255mm AV-4355K 30 922260mm AV-4360K 30 9222

Option - Ileostomy Midi MicroskinOpaquestarter hole 20mm M-4320K 30 8534

25mm M-4325K 30 853430mm M-4330K 30 853435mm M-4335K 30 853440mm M-4340K 30 853445mm M-4345K 30 853450mm M-4350K 30 8534

Option - Ileostomy Midi Microskin with window, filter, softer covering to both sides andsoft touch closure

Opaquestarter hole 20mm MV-4320K 30 9222pre-cut 25mm MV-4325K 30 9222

30mm MV-4330K 30 922235mm MV-4335K 30 922240mm MV-4340K 30 922245mm MV-4345K 30 922250mm MV-4350K 30 9222

761

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Ileostomy Mini with Soft Cover to Both SidesOpaquestarter holecut-to-fit 10mm-50mm 2610K 30 6761

Option - Ileostomy Mini pouch with soft cover to both sides, window and filterOpaqueno starter holecut-to-fit upto 50mm 2600K 30 6761

Option - Ileostomy Pouches with soft touch closure, Filter and Soft Covering to one side

ClearStarter hole 20mm V-3020K 30 9222

25mm V-3025K 30 922230mm V-3030K 30 922235mm V-3035K 30 922240mm V-3040K 30 922245mm V-3045K 30 922250mm V-3050K 30 922255mm V-3055K 30 922260mm V-3060K 30 9222

Option - Low Profile Soft Convex Midi drainable pouch with window, filter and softcovering to both sides

Opaque28mm Plateaucut-to-fit 15mm-28mm LPSC28-4315KV 20 8936pre-cut 20mm LPSC28-4320KV 20 8936

25mm LPSC28-4325KV 20 893640mm Plateaucut-to-fit 15mm-40mm LPSC40-4315KV 20 8936pre-cut 20mm LPSC40-4320KV 20 8936

25mm LPSC40-4325KV 20 893630mm LPSC40-4330KV 20 893635mm LPSC40-4335KV 20 8936

47mm Plateaucut-to-fit 15-47mm LPSC47-4315KV 20 8936pre-cut 20mm LPSC47-4320KV 20 8936

25mm LPSC47-4325KV 20 893630mm LPSC47-4330KV 20 893635mm LPSC47-4335KV 20 893640mm LPSC47-4340KV 20 893645mm LPSC47-4345KV 20 8936

762

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option - Midi Drainable Soft Convex Pouch with Window, Filter, Soft Covering toboth sides and soft touch closure

Opaque25mm Plateaucut-to-fit 15-24mm SC25-4315KV 20 9029pre-cut 20mm SC25-4320KV 20 902935mm Plateaucut-to-fit 15-34mm SC35-4315KV 20 9029pre-cut 20mm SC35-4320KV 20 9029

25mm SC35-4325KV 20 902930mm SC35-4330KV 20 9029

45mm Plateaucut-to-fit 15-44mm SC45-4315KV 20 9029pre-cut 20mm SC45-4320KV 20 9029

25mm SC45-4325KV 20 902930mm SC45-4330KV 20 902935mm SC45-4335KV 20 902940mm SC45-4340KV 20 9029

Option - Mini Ileostomy with Soft Covering to one sidecut-to-fit 10mm-50mmClear 2410K 30 6526Opaque 2510K 30 6526

Option - Soft Convex Ileostomy Pouch with Window, Filter, Soft Covering to bothsides and soft touch closure

Opaque25mm Plateaucut-to-fit 20 - 24mm SC25-4120KV 20 911535mm Plateaucut-to-fit 20 - 34mm SC35-4120KV 20 9115pre-cut 25mm SC35-4125KV 20 9115

30mm SC35-4130KV 20 911545mm Plateaucut-to-fit 20 - 44mm SC45-4120KV 20 9115pre-cut 25mm SC45-4125KV 20 9115

30mm SC45-4130KV 20 911535mm SC45-4135KV 20 911540mm SC45-4140KV 20 9115

57mm Plateaucut-to-fit 20-57mm SC57-4120KV 10 4560

763

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd Option Ileo Oval - Ileostomy pouch with filter and soft covering to one side,MacKintosh liners

Clearcut-to-fit 20mm-80mm 6020K 20 7591

Option Primo Tapered Edge Drainable Clear Pouch, with soft touch closureClearcut-to-fit 20mm-60mm HP8D20C 30 9753pre-cut 25mm HP8D25C 30 9753

30mm HP8D30C 30 975335mm HP8D35C 30 975340mm HP8D40C 30 975345mm HP8D45C 30 975350mm HP8D50C 30 975355mm HP8D55C 30 975360mm HP8D60C 30 9753

Option Primo Tapered Edge Drainable Pouch, Filter, Soft Covering to both sidesand soft touch closure

Opaquecut-to-fit 20mm-60mm HP8D20 30 9855pre-cut 25mm HP8D25 30 9855

30mm HP8D30 30 985535mm HP8D35 30 985540mm HP8D40 30 985545mm HP8D45 30 985550mm HP8D50 30 985555mm HP8D55 30 985560mm HP8D60 30 9855

764

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd Ileomate1-piece drainable oval soft convex pouch with split cover, 4-point belt lugs, highcapacity bar filter and SoftSafe closure with integral finger pocket

TransparentLargestarter hole 13-44x29mm ILTCO113-44 10 4631Extra Largestarter hole 13-54x37mm ILTCO113-54 10 4631

Ileomate1-piece drainable soft convex pouch with split cover, 4-point belt lugs, high capacitybar filter and SoftSafe closure with integral finger pocket

TransparentMediumstarter hole 13-35mm IMTC113-35 10 4675

13-44mm IMTC113-44 10 4675pre-cut 19mm IMTC119 10 4675

22mm IMTC122 10 467525mm IMTC125 10 467528mm IMTC128 10 467532mm IMTC132 10 4675

Largestarter hole 13-35mm ILTC113-35 10 4675

13-44mm ILTC113-44 10 4675pre-cut 19mm ILTC119 10 4675

22mm ILTC122 10 467525mm ILTC125 10 467528mm ILTC128 10 467532mm ILTC132 10 467535mm ILTC135 10 467538mm ILTC138 10 467541mm ILTC141 10 4675

Extra Largestarter hole 13-54mm IXLTC113-54 10 4653

Ileomate1-piece drainable vertical oval soft convex pouch with split cover, 4-point belt lugs,high capacity bar filter and SoftSafe closure with integral finger pocket

TransparentLargestarter hole 13-44x29mm ILTCO113-44V 10 4623Extra Largestarter hole 13-54x37mm ILTCO113-54V 10 4623

765

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd IleomateOne piece pouch with high capacity bar filter and SoftSafe closure with integralfinger pocket

TransparentSmallstarter hole 13-60mm ISTV113 30 10291Mediumstarter hole 13-60mm IMTV113 30 10291pre-cut 19mm IMTV119 30 10291

22mm IMTV122 30 1029125mm IMTV125 30 1029128mm IMTV128 30 1029132mm IMTV132 30 10291

Large, Oval Barrierstarter hole 10-110mm ILTOV110 30 10291Largestarter hole 13-60mm ILTV113 30 10291pre-cut 19mm ILTV119 30 10291

22mm ILTV122 30 1029125mm ILTV125 30 1029128mm ILTV128 30 1029132mm ILTV132 30 1029135mm ILTV135 30 1029138mm ILTV138 30 1029145mm ILTV145 30 10291

Extra Large, Oval Barrierstarter hole 10-110mm IXLTV110 30 10291

BeigeSmallstarter hole 13-60mm ISBV113 30 10291Mediumstarter hole 13-60mm IMBV113 30 10291pre-cut 19mm IMBV119 30 10291

22mm IMBV122 30 1029125mm IMBV125 30 1029128mm IMBV128 30 1029132mm IMBV132 30 10291

Largestarter hole 13-60mm ILBV113 30 10291pre-cut 19mm ILBV119 30 10291

22mm ILBV122 30 1029125mm ILBV125 30 1029128mm ILBV128 30 1029132mm ILBV132 30 1029135mm ILBV135 30 1029138mm ILBV138 30 1029145mm ILBV145 30 10291

766

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd

Pelican Platinum Contour Drainable Pouch with soft foam backed contour skinprotector, fabric on both sides, split fabric backing for viewing/positioning,hydrophobic filter and clipless outlet

Clear Standardcut-to-fit 12-65mm 218412 30 9741

15-80mm 220415 30 9741pre-cut 20mm 218420 30 9741

22.5mm 218422 30 974125mm 218425 30 974127.5mm 218427 30 974130mm 218430 30 974132.5mm 218432 30 974135mm 218435 30 974137.5mm 218437 30 974140mm 218440 30 974145mm 218445 30 974150mm 218450 30 974155mm 218455 30 9741

Clear Minicut-to-fit 12-65mm 218212 30 9741Clear Maxicut-to-fit 12-65mm 218612 30 9741

Pelican Platinum Contour Convex drainable pouch with soft foam backed convexcontour skin protector, fabric on both sides, split fabric backing for viewing/positioning, hydrophobic filter and clipless outlet

Clear Standardcut-to-fit 12-40mm 418412 10 4514

15-60mm 420415 10 4776pre-cut 20mm 418420 10 4514

25mm 418425 10 451430mm 418430 10 451435mm 418435 10 451440mm 418440 10 4514

Clear Minicut-to-fit 12-40mm 418212 10 4514Clear Maxicut-to-fit 12-40mm 418612 10 4514

Pelican Platinum Contour Convex High Output drainable pouch Clear Maxicut-to-fit 12-40mm 418712E 10 4431

15-60mm 420715E 10 4688

767

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Pelican Healthcare Ltd

Pelican Platinum Convex drainable pouch with soft foam backed convex skinprotector, fabric on both sides, split fabric backing for viewing/positioning,hydrophobic filter and clipless outlet

Clear Standardcut-to-fit 12-40mm 318412 10 4514

15-60mm 320415 10 4776pre-cut 20mm 318420 10 4514

25mm 318425 10 451430mm 318430 10 451435mm 318435 10 451440mm 318440 10 4514

Clear Minicut-to-fit 12-40mm 318212 10 4514Clear Maxicut-to-fit 12-40mm 318612 10 4514

Pelican Platinum Convex High Output drainable pouch Clear Maxicut-to-fit 12-40mm 318712E 10 4431

15-60mm 320715E 10 4688

Pelican Platinum Drainable Pouch with soft foam backed skin protector, fabric onboth sides, split fabric backing for viewing/positioning, hydrophobic filter and cliplessoutlet

Clear Standardcut-to-fit 12-65mm 118412 30 9741

15-80mm 120415 30 9741pre-cut 20mm 118420 30 9741

22.5mm 118422 30 974125mm 118425 30 974127.5mm 118427 30 974130mm 118430 30 974132.5mm 118432 30 974135mm 118435 30 974137.5mm 118437 30 974140mm 118440 30 974145mm 118445 30 974150mm 118450 30 974155mm 118455 30 9741

Clear Minicut-to-fit 12-65mm 118212 30 9741Clear Maxicut-to-fit 12-65mm 118612 30 9741

Pelican Platinum Post Op drainable pouchStandardcut-to-fit 12-65mm 118412-PO 30 9741Maxicut-to-fit 12-65mm 118612-PO 30 9741

Pelican Platinum Post Op Convex drainable pouchStandard cut-to-fit 12-40mm 318412-PO 10 4514Maxicut-to-fit 12-40mm 318612-PO 10 4514

768

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

Pelican Platinum with Vitamin E Convex Drainable Pouch with soft foam backed convex skin protector containing Vitamin E, fabric on both sides, split fabric backing for viewing/positioning, hydrophobic filter and clipless outletClear Mini

cut-to-fit 12-40mm 418212E 10 4528Clear Standard

cut-to-fit 12-40mm 418412E 10 4528Clear Maxi

cut-to-fit 12-40mm 418612E 10 4528Clear Standard

cut-to-fit 15-60mm 420415E 10 4771pre-cut 25mm 418425E 10 4528pre-cut 30mm 418430E 10 4528pre-cut 35mm 418435E 10 4528pre-cut 40mm 418440E 10 4528

Pelican Platinum with Vitamin E Drainable Pouch with soft foam backed skinprotector containing Vitamin E, fabric on both sides, split fabric backing for viewing/positioning, hydrophobic filter and clipless outletClear Mini

cut-to-fit 12-65mm 218212E 30 9814Clear Standard

cut-to-fit 12-65mm 218412E 30 9814Clear Maxi

cut-to-fit 12-65mm 218612E 30 9814Clear Standard

cut-to-fit 15-80mm 220415E 30 9814pre-cut 25mm 218425E 30 9814pre-cut 30mm 218430E 30 9814pre-cut 35mm 218435E 30 9814pre-cut 40mm 218440E 30 9814

Pelican Platinum with Vitamin E Post Op drainable pouch with soft foam backedskin protector containing Vitamin E, fabric on body side, clear film on non-body side,hydrophobic filter and clipless outletClear Standard

cut-to-fit 12-65mm 218412E-PO 30 9814Clear Maxi

cut-to-fit 12-65mm 218612E-PO 30 9814

Pelican Platinum with Vitamin E Post Op Convex drainable pouch with soft foambacked convex skin protector containing Vitamin E, fabric on body side, clear film onnon-body side, hydrophobic filter and clipless outletClear Standard

cut-to-fit 12-40mm 418412E-PO 10 4528Clear Maxi

cut-to-fit 12-40mm 418612E-PO 10 4528

Pelican Pouch - with Skin Protector, Adhesive, Comfort Backing,Paediatric/Neonatal Pouch

0-40mm 120705 30 8332

769

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Pelican Healthcare Ltd

Pelican SelectDrainable Pouch with skin protector, fabric both sidesClearcut-to-fit 20mm-65mm 110620 30 8132Opaquecut-to-fit 20mm-65mm 110720 30 8113Paediatric Pouch - with skin protector, plain fabric both sidesClearcut-to-fit 10mm-50mm 101600 30 7274Opaquecut-to-fit 10mm-50mm 101602 30 7274Paediatric Pouch - with skin protector, fabric both sides with printed motifClearcut-to-fit 10mm-50mm 101601 30 7274Opaquecut-to-fit 10mm-50mm 101603 30 7274Paediatric Pouch - with filter, skin protector, fabric both sides with printed motifClearcut-to-fit 10mm-50mm 101608 30 7633Neonatal Pouch - Plain split fabric front and backClearcut-to-fit 10mm-50mm 101604 30 7027Neonatal Pouch - Split fabric front and back with printed motifClearcut-to-fit 10mm-50mm 101605 30 7027Paediatric Pouch - with soft convexity, split fabric backing with printed motifClearcut-to-fit 5mm-30mm 112708 10 4456Paediatric Pouch with soft convexity, split fabric backing and plain fabricClear cut-to-fit 5-30mm 112710 10 4379

Pelican Select Afresh - Drainable Pouch with Clipless System & Integral FilterOpaque Maxipre-cut 20mm 112520 30 8777

25mm 112525 30 877727.5mm 112527 30 877730mm 112530 30 877732.5mm 112532 30 877735mm 112535 30 877737.5mm 112537 30 877740mm 112540 30 877745mm 112545 30 877750mm 112550 30 877755mm 112555 30 8777

Clear Maxipre-cut 20mm 112620 30 8777

25mm 112625 30 877727.5mm 112627 30 877730mm 112630 30 877732.5mm 112632 30 877735mm 112635 30 877737.5mm 112637 30 877740mm 112640 30 877745mm 112645 30 877750mm 112650 30 877755mm 112655 30 8777

Manufacturer Appliance Order No. Quantity List Price p

770

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

Pelican Select Afresh - Drainable Pouch with filterOpaque Maxicut-to-fit 15-65mm 112515 30 8777Clear Maxicut-to-fit 15-65mm 112615 30 8777

Opaque Standardcut-to-fit 15-65mm 112115 30 8777pre-cut 20mm 112120 30 8777

25mm 112125 30 877727.5mm 112127 30 877730mm 112130 30 877732.5mm 112132 30 877735mm 112135 30 877737.5mm 112137 30 877740mm 112140 30 877745mm 112145 30 877750mm 112150 30 877755mm 112155 30 8777

Clear Standardcut-to-fit 15-65mm 112215 30 8777pre-cut 20mm 112220 30 8777

25mm 112225 30 877727.5mm 112227 30 877730mm 112230 30 877732.5mm 112232 30 877735mm 112235 30 877737.5mm 112237 30 877740mm 112240 30 877745mm 112245 30 877750mm 112250 30 877755mm 112255 30 8777

Opaque Minicut-to-fit 15-65mm 112315 30 8777pre-cut 20mm 112320 30 8777

25mm 112325 30 877727.5mm 112327 30 877730mm 112330 30 877732.5mm 112332 30 877735mm 112335 30 877737.5mm 112337 30 877740mm 112340 30 877745mm 112345 30 877750mm 112350 30 877755mm 112355 30 8777

Clear Minicut-to-fit 15-65mm 112415 30 8777

Pelican Select AfreshPaediatric Pouch-with filter, skin protector, fabric, printed motif and clipless outletClearcut-to-fit 10-50mm 112701 30 8877Paediatric Pouch-with filter, skin protector, fabric and clipless outletOpaquecut-to-fit 10-50mm 112702 30 8877Neonatal Pouch-with filter, skin protector, fabric, printed motif and clipless outletClearcut-to-fit 0-40mm 112703 30 8877Neonatal Pouch-with filter, skin protector, fabric and clipless outletOpaquecut-to-fit 0-40mm 112704 30 8877

771

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

Pelican Select Drainable Convex Pouch - integral convexity with filter, split fabricbacking and clipless outlet

Opaque - Standardcut-to-fit 12-40mm 113312 10 4456

15-60mm 117315 10 470720mm 113320 10 445622.5mm 113322 10 445625mm 113325 10 445627.5mm 113327 10 445630mm 113330 10 445632.5mm 113332 10 445635mm 113335 10 445637.5mm 113337 10 445640mm 113340 10 4456

Clear - Standardcut-to-fit 12-40mm 113412 10 4456

15-60mm 117415 10 470720mm 113420 10 445622.5mm 113422 10 445625mm 113425 10 445627.5mm 113427 10 445630mm 113430 10 445632.5mm 113432 10 445635mm 113435 10 445637.5mm 113437 10 445640mm 113440 10 4456

Opaque - Maxicut-to-fit 12-40mm 113512 10 4456

20mm 113520 10 445622.5mm 113522 10 445625mm 113525 10 445627.5mm 113527 10 445630mm 113530 10 445632.5mm 113532 10 445635mm 113535 10 445637.5mm 113537 10 445640mm 113540 10 4456

Opaque - Minicut-to-fit 12-40mm 113112 10 4456

Clear - Minicut-to-fit 12-40mm 113212 10 4456

Clear - Maxicut-to-fit 12-40mm 113612 10 4456

Pelican Select Drainable DuoVent - with two filters,easy access outlet, skin protector, fabric both sides

Clear - Standardcut-to-fit 15mm-65mm 110215 30 8013Opaque - Standardcut-to-fit 15-65mm 110315 30 8013Clear - Minicut-to-fit 15-65mm 111200 30 7767Opaque - Minicut-to-fit 15-65mm 111215 30 7767

772

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Confidence BE

Drainable pouches with soft water repellent cover on bodyside, hydrophobicprotected filter, dual thickness Flexifit wafer containing Aloe Vera extracts andeasy-open hidden outletTransparent

Standardstarter holeStone 13-55mm BDT13ST 30 10040

13-75mm BDT1375ST 30 10140

Largestarter holeStone 13-55mm BDLT13ST 30 10040

13-75mm BDLT1375ST 30 10140

Drainable pouches with soft water repellent cover on both sides, hydrophobicprotected filter, dual thickness Flexifit wafer containing Aloe Vera extracts andeasy-open hidden outletOverlap

Ministarter holeBlack 13-55mm BDM13B 30 10040Stone 13-55mm BDM13ST 30 10040White 13-55mm BDM13W 30 10040

Standardstarter holeBlack 13-55mm BD13B 30 10040

13-75mm BD1375B 30 10140Stone 13-55mm BD13ST 30 10040

13-75mm BD1375ST 30 10140White 13-55mm BD13W 30 10040

13-75mm BD1375W 30 10140

pre-cutBlack 25mm BD25B 30 10040

28mm BD28B 30 1004032mm BD32B 30 1004035mm BD35B 30 1004038mm BD38B 30 1004041mm BD41B 30 10040

Stone 25mm BD25ST 30 1004028mm BD28ST 30 1004032mm BD32ST 30 1004035mm BD35ST 30 1004038mm BD38ST 30 1004041mm BD41ST 30 10040

White 25mm BD25W 30 1004028mm BD28W 30 1004032mm BD32W 30 1004035mm BD35W 30 1004038mm BD38W 30 1004041mm BD41W 30 10040

Largestarter holeBlack 13-55mm BDL13B 30 10040

13-75mm BDL1375B 30 10140Stone 13-55mm BDL13ST 30 10040

13-75mm BDL1375ST 30 10140White 13-55mm BDL13W 30 10040

13-75mm BDL1375W 30 10140

773

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence BE Soft ConvexDrainable pouches with integral soft convexity, soft water repellent cover onbody side, hydrophobic protected filter, Flexifit wafer containing Aloe Veraextracts and easy-open hidden outletTransparent

Largestarter holeStone 13-25mm XBDLT1325ST 10 4644

13-38mm XBDLT1338ST 10 464413-52mm XBDLT1352ST 10 4644

Standardstarter holeStone 13-25mm XBDT1325ST 10 4644

13-38mm XBDT1338ST 10 464413-52mm XBDT1352ST 10 4644

Drainable pouches with integral soft convexity, soft water repellent cover onboth sides, hydrophobic protected filter, Flexifit wafer containing Aloe Veraextracts and easy-open hidden outletOverlap

Largestarter holeBlack 13-25mm XBDL1325B 10 4644

13-38mm XBDL1338B 10 464413-52mm XBDL1352B 10 4644

Stone 13-25mm XBDL1325ST 10 464413-38mm XBDL1338ST 10 464413-52mm XBDL1352ST 10 4644

White 13-25mm XBDL1325W 10 464413-38mm XBDL1338W 10 464413-52mm XBDL1352W 10 4644

Standardstarter holeBlack 13-25mm XBD1325B 10 4644

13-38mm XBD1338B 10 464413-52mm XBD1352B 10 4644

Stone 13-25mm XBD1325ST 10 464413-38mm XBD1338ST 10 464413-52mm XBD1352ST 10 4644

White 13-25mm XBD1325W 10 464413-38mm XBD1338W 10 464413-52mm XBD1352W 10 4644

774

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Salts Healthcare pre-cutBlack 21mm XBD21B 10 4644

25mm XBD25B 10 464428mm XBD28B 10 464432mm XBD32B 10 464435mm XBD35B 10 464438mm XBD38B 10 464441mm XBD41B 10 4644

Stone 21mm XBD21ST 10 464425mm XBD25ST 10 464428mm XBD28ST 10 464432mm XBD32ST 10 464435mm XBD35ST 10 464438mm XBD38ST 10 464441mm XBD41ST 10 4644

White 21mm XBD21W 10 464425mm XBD25W 10 464428mm XBD28W 10 464432mm XBD32W 10 464435mm XBD35W 10 464438mm XBD38W 10 464441mm XBD41W 10 4644

Ministarter holeBlack 13-25mm XBDM1325B 10 4644

13-38mm XBDM1338B 10 4644Stone 13-25mm XBDM1325ST 10 4644

13-38mm XBDM1338ST 10 4644White 13-25mm XBDM1325W 10 4644

13-38mm XBDM1338W 10 4644

Manufacturer Appliance Order No. Quantity List Price p

775

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence Comfort DrainableDrainable pouches with an easy clean integral closure, hypoallergenichydrocolloid, integral filter and soft beige cover.

Large Transparent starter hole13-70mm CFDLT13 30 9172

Large with oval wafer starter hole13mm DLTO13 30 9335

Standard with oval wafer starter hole13mm DTO13 30 9335

Standard Transparent/overlap starter hole13-65mm CFDT13 30 9172

Small Opaque starter hole13-65mm CFDS13 30 9172

Confidence Comfort PaediatricPaediatric drainable pouches an easy clean integral closure, hypoallergenichydrocolloid, integral filter and soft beige coverTransparent

starter hole8-60mm CPT8 30 8303No hole CPTNH 30 8303

Transparent/overlapstarter hole

8-60mm CP8 30 8303No hole CPNH 30 8303

Confidence Comfort with FlexifitDrainable pouches with easy clean integral closure, comfort backing on both sides with overlap, integral filter and hypoallergenic Flexifit hydrocolloid waferNeonatal

starter hole8-40mm CFN8 30 8353No hole CFNNH 30 8353

Paediatricstarter hole

8-40mm CFP8 30 8353No hole CFPNH 30 8353

Drainable pouches with easy clean integral closure, comfort backing on body side, transparent back, integral filter and hypoallergenic Flexifit hydrocolloid waferNeonatalTransparent

starter hole8-40mm CFNT8 30 8353No hole CFNTNH 30 8353

776

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence Drainable Supersoft1 piece integral convexity drainable pouches with hypoallergenic, hydrocolloid and soft beige comfort backing on both sides, with overlap. Integral filter and anatomical shape, with an easy clean soft closure

Small starter hole13-25mm CDSSS1325 10 448613-38mm CDSSS1338 10 448613-52mm CDSSS1352 10 4486

Standard starter hole13-25mm CDSS1325 10 448613-38mm CDSS1338 10 448613-52mm CDSS1352 10 4486

pre-cut21mm CDSS21 10 448625mm CDSS25 10 448628mm CDSS28 10 448632mm CDSS32 10 448635mm CDSS35 10 448638mm CDSS38 10 448641mm CDSS41 10 4486

Large starter hole13-25mm CDSSL1325 10 448613-38mm CDSSL1338 10 448613-52mm CDSSL1352 10 4486

Confidence Gold with FilterWith hypoallergenic hydrocolloid and soft beige comfort backing on both sides, filterDrainable Pouches - Opaque

starter hole13mm GDF13 30 7337

Small starter hole13mm GDSF13 30 7337

Confidence NaturalDrainable pouches with an easy clean integral closure. Transparent anatomicalshape, integral filter and hypoallergenic Flexifit hydrocolloid wafer containingAloe extracts.

Largestarter hole

13mm NDLT13 30 9844Standardstarter hole

13mm NDT13 30 9844

777

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Drainable pouches with an easy clean integral closure. Comfort backing on bothsides with overlap, anatomical shape, integral filter and hypoallergenic Flexifithydrocolloid wafer containing Aloe extracts.

Largestarter hole

13mm NDL13 30 9844Standardstarter hole

13mm ND13 30 984425mm ND25 30 984428mm ND28 30 984432mm ND32 30 984435mm ND35 30 9844

Smallstarter hole

13mm NDS13 30 9844

Confidence Natural AdvanceDrainable pouches with integral closure and easy-open tab, integral filter, clear-view porthole window, soft comfort cover on both sides and superior adhesionFlexifit hydrocolloid wafer containing Aloe extracts.

Largestarter hole

13mm NDAL13 30 995113-90mm NDAL1390 30 9899

Standardstarter hole

13mm NDA13 30 995125mm NDA25 30 995128mm NDA28 30 995132mm NDA32 30 995135mm NDA35 30 9951

Smallstarter hole

13mm NDAS13 30 9951

Transparent drainable pouches with integral closure and easy-open tab, integralfilter, clear-view porthole window, soft comfort cover on body-side and superioradhesion Flexifit hydrocolloid wafer containing Aloe extracts.

Largestarter hole

13-90mm NDALT1390 30 9899Largestarter hole

13mm NDALT13 30 9899Standardstarter hole

13mm NDAT13 30 9899

778

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Confidence Natural Soft Convex

Drainable pouches with integral soft convexity, soft comfort backing on both sideswith overlap, anatomical shape, easy clean integral closure, integral filter andhypoallergenic Flexifit hydrocolloid wafer containing Aloe extracts.

Largestarter hole

13-25mm XNDL1325 10 454913-38mm XNDL1338 10 454913-52mm XNDL1352 10 4549

Standardstarter hole

13-25mm XND1325 10 454913-38mm XND1338 10 454913-52mm XND1352 10 4549

pre-cut21mm XND21 10 454925mm XND25 10 454928mm XND28 10 454932mm XND32 10 454935mm XND35 10 454938mm XND38 10 454941mm XND41 10 4549

Smallstarter hole

13-25mm XNDS1325 10 454913-38mm XNDS1338 10 4549

Koenig Rutzen all rubber black screw outletLarge

25mm 161125 1 388329mm 161129 1 388332mm 161132 1 388335mm 161135 1 388338mm 161138 1 388344mm 161144 1 388351mm 161151 1 3883

Small25mm 161225 1 388332mm 161232 1 388338mm 161238 1 3883

Special 161099 1 4035spout outlet

Large25mm 171125 1 290432mm 171132 1 290438mm 171138 1 290451mm 171151 1 2904

Small25mm 171225 1 290432mm 171232 1 290438mm 171238 1 2904

Special 171099 1 3013

779

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Koenig Rutzen with metal bridge, screw outlet

Large25mm 165125 1 521138mm 165138 1 5211

Small32mm 165232 1 5162

Special 165099 1 5412with metal bridge, spout outlet

Large32mm 175132 1 3764

with reinforced rubber plate, black, screw outletLarge

25mm 163125 1 521132mm 163132 1 521138mm 163138 1 5211

Small25mm 163225 1 521132mm 163232 1 5211

Koenig Rutzen with reinforced rubber plate, black, spout outletSmall

25mm 173225 1 3904with plate and metal bridge, screw outlet

Large25mm 168125 1 607332mm 168132 1 607338mm 168138 1 607344mm 168144 1 607351mm 168151 1 6073

Small25mm 168225 1 607332mm 168232 1 6073

Special 168099 1 6305Light White

Adhesive BagOpaque

Large25mm 274125 30 700832mm 274132 30 700838mm 274138 30 700844mm 274144 30 7008

Medium25mm 274325 30 700832mm 274332 30 700838mm 274338 30 7008

Small25mm 274225 30 700832mm 274232 30 700838mm 274238 30 7008

Ward SurgicalAppliance Co

Black Rubber(with screw outlet)

19mm, 35mm or 54mmDay Size WM 08 1 1849Night Size WM 09 1 1932

780

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Ileostomy (Drainable) Bags

Manufacturer Appliance Order No. Quantity List Price pWard Surgical Appliance Co

White Rubber(with spout outlet)

Day Size WM 03 1 1264Night Size WM 04 1 1421

with flange attached WM 99 1 2795Donald Rose registered design rubberbags with celluloid collars, solid, flat orfluid rims.

9 1 1977

New improved rubber bag only, complete with collar.

12 1 2146

Extra tap outlet and skirt (also extra for Donald Rose RD bag)

13 1 252

Shaped rubber night bag with longvertical spring vulcanite screw outlet

18 1 1967

Welland Medical Ltd Welland Aura Drainable Pouch with soft backing, Dual Carb i filter, integralclosure and oval flange containing Manuka honeyMaxi

Beige - Split Covercut-to-fit

13mm-60/80mm MHDL 513 30 10087pre-cut

25mm MHDL 525 30 1008729mm MHDL 529 30 1008732mm MHDL 532 30 1008735mm MHDL 535 30 1008738mm MHDL 538 30 1008744mm MHDL 544 30 10087

Clearcut-to-fit

13mm-60/80mm MHDL 713 30 10087Midi

Beige - Split Covercut-to-fit

13mm-60/80mm MHDM 513 30 10087pre-cut

25mm MHDM 525 30 1008729mm MHDM 529 30 1008732mm MHDM 532 30 1008735mm MHDM 535 30 1008738mm MHDM 538 30 1008744mm MHDM 544 30 10087

Clearcut-to-fit

13mm-60/80mm MHDM 713 30 10087Mini

Beige - Split Covercut-to-fit

13mm-50/70mm MHDS 513 30 10087pre-cut

25mm MHDS 525 30 1008729mm MHDS 529 30 1008732mm MHDS 532 30 1008735mm MHDS 535 30 1008738mm MHDS 538 30 1008744mm MHDS 544 30 10087

Clearcut-to-fit

13mm-50/70mm MHDS 713 30 10087

781

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd Welland Aura Convex

Drainable Pouch with integral convexity, beige, split soft cover, flange containingManuka honey

BeigeMinistarter hole 25mm MHNDS413 10 4564

35mm MHNDM413 10 4564

Midistarter hole 25mm MHNDS513 10 4564

35mm MHNDM513 10 456448mm MHNDL513 10 4564

Midi Plusstarter hole 60mm MHNDX813 10 4564

Maxistarter hole 25mm MHNDS913 10 4564

35mm MHNDM913 10 456448mm MHNDL913 10 4564

Maxi Plusstarter hole 60mm MHNDX213 10 4564

ClearMidistarter hole 35mm MHNDM713 10 4564

Midi Plusstarter hole 60mm MHNDX113 10 4564

Maxistarter hole 35mm MHNDM313 10 4564

Maxi Plusstarter hole 60mm MHNDX013 10 4564

782

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Aura ProfileDrainable pouch with curvex soft, mouldable flange containing Manuka honey,Dual-Carb i filter, integral belt loops and integral closure

BeigeMinistarter hole 25mm MHCDS413 10 4568

35mm MHCDM413 10 4568

Midistarter hole 25mm MHCDS513 10 4568

35mm MHCDM513 10 456848mm MHCDL513 10 4568

Midi Plusstarter hole 60mm MHCDX813 10 4568

Maxistarter hole 25mm MHCDS913 10 4568

35mm MHCDM913 10 456848mm MHCDL913 10 4568

Maxi Plusstarter hole 60mm MHCDX213 10 4568

ClearMidistarter hole 35mm MHCDM713 10 4568

Midi Plusstarter hole 60mm MHCDX113 10 4568

Maxistarter hole 35mm MHCDM313 10 4568

Maxi Plusstarter hole 60mm MHCDX013 10 4568

783

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Curvex Drainable Pouch with soft, mouldable flange, all over soft cover and Dual-Carb filterMaxi size, beige double sided softback

25mm plateau starter hole CDS 513 10 431632mm plateau starter hole CDM 513 10 431632mm plateau 25mm pre-cut CDM 525 10 431632mm plateau 32mm pre-cut CDM 532 10 431643mm plateau starter hole CDL 513 10 431643mm plateau 32mm pre-cut CDL 532 10 431643mm plateau 38mm pre-cut CDL 538 10 4316

Maxi size, clear front25mm plateau starter hole CDS 713 10 431632mm plateau starter hole CDM 713 10 431643mm plateau starter hole CDL 713 10 4316

Drainable Pouch with soft mouldable flange, all over soft cover and Dual-Carbfilter

Beige25mm plateau starter hole CFS 513 10 273132mm plateau starter hole CFM 513 10 273143mm plateau starter hole CFL 513 10 2731

Drainable Pouch with soft mouldable flange, soft cover and Dual-Carb filterClear25mm plateau starter hole CFS 713 10 273132mm plateau starter hole CFM 713 10 273143mm plateau starter hole CFL 713 10 2731

Welland FreeStyle Drainable Pouch with hydrocolloid wafer, protected Dual-Carb charcoal-basedfilter and integral closure

Beige double-sided softback large 13mm starterhole

(cut to 60mm) FLD 513 30 920925mm FLD 525 30 920929mm FLD 529 30 920932mm FLD 532 30 920935mm FLD 535 30 920938mm FLD 538 30 920944mm FLD 544 30 9209White softback on body side large 13mm starter hole

(cut to 60mm) FLD 713 30 8886Beige double-sided softback medium anatomical 13mm starter hole

(cut to 60mm) FMD 513 30 920925mm FMD 525 30 920929mm FMD 529 30 920932mm FMD 532 30 920935mm FMD 535 30 920938mm FMD 538 30 920944mm FMD 544 30 9209

784

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland FreeStyle Convex Drainable Pouch with integral convexity with soft backing and Dual-Carb Filterand Integral closure

Beige soft backing to both sidesMedium 13mm starter hole

(cut to 35mm) NDM 513 10 431625mm NDM 525 10 431629mm NDM 529 10 431632mm NDM 532 10 431635mm NDM 535 10 4316Large13mm starter hole

(cut to 48mm) NDL 513 10 431635mm NDL 535 10 431638mm NDL 538 10 431644mm NDL 544 10 4316Clear with soft backing on flange sideMedium13mm starter hole

(cut to 35mm) NDM 713 10 4316Large13mm starter hole

(cut to 48mm) NDL 713 10 4316Welland FreeStyle Vie

Drainable Pouch with protected Dual-Carb Filter and soft beige comfortbacking on both sides and integral closureMedium

cut-to-fit13-60mm PMD 513 30 10083

pre-cut25mm PMD 525 30 1008329mm PMD 529 30 1008332mm PMD 532 30 1008335mm PMD 535 30 1008338mm PMD 538 30 1008344mm PMD 544 30 10083

Largecut-to-fit

13-60mm PLD 513 30 10083pre-cut

25mm PLD 525 30 1008329mm PLD 529 30 1008332mm PLD 532 30 1008335mm PLD 535 30 1008338mm PLD 538 30 1008344mm PLD 544 30 10083

Drainable Pouch with protected Dual-Carb Filter, clear with soft beige comfort backing on body side and integral closureLarge

cut-to-fit13-60mm PLD 713 30 10083

785

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd Welland FreeStyle Vie Convex

Drainable Pouch with integral convexity, Dual-carb filter, Integral belt loops andIntegral closure

Beige double-sided softbackMedium plateau

cut-to-fit 13mm-35mm PNDM 513 10 4525

pre-cut25mm PNDM 525 10 452529mm PNDM 529 10 452532mm PNDM 532 10 452535mm PNDM 535 10 4525

Large plateau cut-to-fit

13mm-48mm PNDL 513 10 4525pre-cut

35mm PNDL 535 10 452538mm PNDL 538 10 452544mm PNDL 544 10 4525

Clear with beige soft backing on body sideMedium plateau

cut-to-fit 13mm-35mm PNDM 713 10 4525

Large plateau cut-to-fit

13mm-48mm PNDL 713 10 4525

Welland FreeStyle Vie CurvexDrainable Pouch with soft, mouldable flange, Dual-Carb filter, Integral belt loopsand Integral closure

Beige double-sided softbackSmall plateau

cut-to-fit13mm-25mm PCDS 513 10 4525

Medium Plateaucut-to-fit

13mm-32mm PCDM 513 10 4525pre-cut

25mm PCDM 525 10 452532mm PCDM 532 10 4525

Large Plateaucut-to-fit

13mm-43mm PCDL 513 10 4525pre-cut

32mm PCDL 532 10 452538mm PCDL 538 10 4525

Clear with beige soft backing on body sideSmall plateau

cut-to-fit13mm-25mm PCDS 713 10 4525

Medium plateau cut-to-fit

13mm-32mm PCDM 713 10 4525Large plateau

cut-to-fit13mm-43mm PCDL 713 10 4525

786

Part IXC 11/2019STOMA APPLIANCES

ILEOSTOMY (DRAINABLE) BAGS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd Welland Large Post-Op

Drainable Pouch with SoftbackingClear starter hole 10mm FSP 700 30 8012Beige starter hole 10mm FSP 900 30 8012

Welland Ovation Drainable Pouch with oval skin protector

Beige starter hole 10mm FSI 910 30 8185Clear starter hole 10mm FSI 710 30 8185

Drainable Pouch with large vertical oval skin protectorClear starter hole 10mm FVI 710 10 2683

Mini Drainable Pouch with oval skin protectorClear starter hole 10mm FSM 710 30 7164

Mini Drainable with vertical skin protectorClear starter hole 10mm FVM 710 10 2347

Welland Silhouette Plus Drainable Pouch with filter

Beige19mm SDF 519 30 774425mm SDF 525 30 774429mm SDF 529 30 774432mm SDF 532 30 774435mm SDF 535 30 774438mm SDF 538 30 774444mm SDF 544 30 774451mm SDF 551 30 7744

Clear19mm SDF 719 30 774425mm SDF 725 30 774429mm SDF 729 30 774432mm SDF 732 30 774435mm SDF 735 30 774438mm SDF 738 30 774444mm SDF 744 30 774451mm SDF 751 30 7744

Standard Length Drainable Pouch with soft backingBeige

starter hole 19mm FSI 919 30 777425mm FSI 925 30 777429mm FSI 929 30 777432mm FSI 932 30 777435mm FSI 935 30 777438mm FSI 938 30 777444mm FSI 944 30 777451mm FSI 951 30 7774

Clearstarter hole 19mm FSI 719 30 7774

25mm FSI 725 30 777429mm FSI 729 30 777432mm FSI 732 30 777435mm FSI 735 30 777438mm FSI 738 30 777444mm FSI 744 30 777451mm FSI 751 30 7774

787

11/2019 Part IXCSTOMA APPLIANCES

ILEOSTOMY SETS

All products in this category must be dispensed with a supply of wipes and disposal bags.

Manufacturer Appliance Order No. Quantity List Price p

DBT Medical Ltd BirkbeckAppliance "A"

19mm LM 720119 1 1098538mm LM 720138 1 1098554mm LM 720154 1 10985

Appliance "B"19mm LM 720519 1 708938mm LM 720538 1 708954mm LM 720554 1 7089

Ward Surgical Appliance Co Donald Rose Ileostomy Appliance

First Stage 1 1 4838Second Stage 8 1 4786New Improved 11 1 5079

788

11/2019 Part IXCSTOMA APPLIANCES

IRRIGATION/WASH - OUT APPLIANCES - (Replacement Parts)(SLEEVES/DRAINS/BAGS/CONES/LUBRICATION)

NB. Complete Appliances are not prescribable

Products marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.

Manufacturer Appliance Order No. Quantity List Pricep

Aquaflush Medical Ltd Stoma Stopper ACE8/100-ACE14/100 1 1400Stoma Stopper Dressing AFD30 30 2700Stoma Stopper Monthly pack ACEM8-ACEM14 1 3950

Avanos Medical (formerly Halyard Health UK Ltd)

Corstop a.c.e. stopper CS8-15 - CS14-100 1 1400

B. Braun Medical Biotrol Irrigation o Irysleeve Irrigation Sleeves 60650E 50 6610

Cone F05062E 1 330

Coloplast Ltd o Assura Irrigation Sleeve 12834 30 404312836 30 4043

Colotip 1110 1 785o Irrigator Bag 1511 1 1486

Dansac Ltd o Irri-Drain with Ring Holder for Silicone Ring

950-20 20 2741

Silicone Ring 09547-0000 1 550o Irri-Drain Adhesive 950-35 20 2674o Water Container 95200-0000 1 2144

Clamp 95210-0000 1 928Cone 95205-0000 1 1378Brush 95220-0000 1 234Tube 95215-0000 1 164

Flexicare Medical Ltd Wystopper stoma stopper WS0310/30-WS0616/60 3 3600

Hollister Ltd o Stoma Cone/Irrigator Kit 7718 1 2433o Irrigator Drain 7724 20 3357

Replacement Cones 7723 1 105610 8392

Stoma Lubricant 7740 1 597

Medicina Ltd Medicina Caecostomy and ACE Washout setsFor Caecostomy Button AS01 1 880For Caecostomy Tube or ACE Catheter

AS02 1 880

Ace Stopper AP8/15-AP14/100

1 1400

Ace Dressing Key Hole KD08-KD18 30 4800

Oakmed Ltd o Option Connect 2 Irrigation Sleeve

JH990 30 4084

Wellspect HealthCare Ileostomy Catheter 68735 5 536

789

11/2019 Part IXCSTOMA APPLIANCES

PRESSURE PLATES/SHIELDS

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical Iryflex Irrigation Face Plate F05064E 1 858

Coloplast Ltd Assura Irrigation Supporting Plate 12820 5 3653

ConvaTec Ltd Combihesive NaturaConvex Inserts (for use with Combihesive Natura flanges)

38mm (25mm internal dia) S7624 5 16345mm (32mm internal dia) S7626 5 16345mm (35mm internal dia) S7627 5 16357mm (41mm internal dia) S7629 5 163

Low Pressure Adaptor (for use with Combihesive Natura flanges)45mm 401993 10 261457mm 401994 10 261470mm 401995 10 2614

Jade-Euro-Med Ltd Surrey Model PlasticPressure Plate

32mm dia WK001-32-L 1 926Standard Plastic Pressure Plates to use with Lightweight Bag attached

Flange25mm int diameter WK004-25-C 1 92638mm int diameter WK004-38-M 1 926

Stainless Wire Pressure Frames, Hook and Lug To fit

32mm Flange WK012-32-V 1 112838mm Flange WK012-38-J 1 112844mm Flange WK012-44-D 1 112851mm Flange WK012-51-A 1 1128

Kavendor Ltd Comfishield Set60mm aperture CSSET-Jet-60 1 2500

CSSET-Pearl-60 1 2500CSSET-Sand-60 1 2500

75mm aperture CSSET-Jet-75 1 2500CSSET-Pearl-75 1 2500CSSET-Sand-75 1 2500

90mm aperture CSSET-Jet-90 1 2500CSSET-Pearl-90 1 2500CSSET-Sand-90 1 2500

Comfishield Pads60mm aperture CSPAD-Jet-60 1 1275

CSPAD-Pearl-60 1 1275CSPAD-Sand-60 1 1275

75mm aperture CSPAD-Jet-75 1 1275CSPAD-Pearl-75 1 1275CSPAD-Sand-75 1 1275

90mm aperture CSPAD-Jet-90 1 1275CSPAD-Pearl-90 1 1275CSPAD-Sand-90 1 1275

Peak Medical Ltd EuroTec Support Plate With 4-Point Belt Attachment (for use with 1-piece and 2-piece appliances)60mm diameter FP 60 1 67872mm diameter FP 72 1 67880mm diameter FP 80 1 678

790

Part IXC 11/2019STOMA APPLIANCES

PRESSURE PLATES/SHIELDS

Respond Healthcare Ltd

OstoMart Ostoshield(without belt) Res50 1 718

OstoMart Ostoshield BeltSmall/Medium 45cm/85cm Res40 1 371

OstoMart Ostoshield BeltLarge/Extra Large66cm/124cm Res45 1 371

Salts Healthcare Light White Anti-Sag RingFor Belt use 833038 1 178For Velcro Belt Fastening 833086 1 203

Light White Stabilising Ring 833039 1 156Pressure Plate Kombo

50mm 833090 1 23360mm 833091 1 233

Second NatureConvex Inserts (for use with Second Nature Adhesive Flanges)

38mm (25mm internal dia) CI3825 5 15445mm (29mm internal dia) CI4529 5 15445mm (32mm internal dia) CI4532 5 154

SASH Stoma Shield SS104 1 2721The above Made to Measure item requires an Order Form obtainable from Stoma Care Nurses or from SASH (Tel 0800 389 3111) detailing waist size and pouch details)

T J Shannon Facepiece TJS 948b 1 820

Ward Surgical Appliance CoCelluloid Colostomy Cup

With sponge or solid rim, Small,Medium or Large

WM10 1 3683

With Sponge Rubber or SolidRim, Belt Fitting

WM11 1 4201

St Mark's Shields (celluloid)4 studs WM13 1 800

Manufacturer Appliance Order No. Quantity List Price p

791

11/2019 Part IXCSTOMA APPLIANCES

SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes)

Manufacturer Appliance Order No. Quantity List Price p

3M Health Care Ltd Cavilon Durable Barrier Cream2g sachet 3392GS 20 647

3391G 28g 3323392G 92g 655

Cavilon No Sting Barrier FilmPump Spray (Sterilised) 3346P 28ml 585Foam Applicators (Sterile) (1ml) 3343P 5 409

(3ml) 3345P 5 662Stoma Wipe 3344E 30 2376

Aspen Medical Europe Ltd

Sorbaderm Barrier Cream2g sachet 3026 20 594

3027 28g 3203028 92g 648

Sorbaderm No-Sting Barrier Film Spray 3020 28ml 539Sorbaderm No-Sting Barrier Film

Foam Applicators (Sterile) (1ml) 3021 5 400(3ml) 3022 5 648

BSN medical Ltd Cutimed Protect Cream 72652-00 28g 33272652-03 90g 632

2g sachet 72652-08 20 640Cutimed Protect Foam Applicator

(1ml) 72654-00 5 449(3ml) 72654-02 5 724

Cutimed Protect Spray 72653-00 28ml 534

C D Medical Ltd Clinifilm Barrier Cream 300723 28g 318300722 100g 650

Clinifilm Spray 300719 50ml 936Clinifilm Wipes 300718 30 1950

C S Bullen Ltd Balspray Aerosol UF95 1 726Karaya Gum Powder UF65 70g 497

792

11/2019 Part IXCSTOMA APPLIANCES

SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes)

CliniMed Ltd CliniShield Wipes 3800 50 1482LBF Barrier Cream 3823 30g 352

3821 100g 755LBF Barrier Cream (2g sachet) 3822 20 sachets 680LBF Hydrosolve Flushable Barrier FilmWipes

3828 30 2574

LBF Sterile No Sting Barrier Film Wipes 3820 30 sachets 2580LBF Sterile No Sting Barrier Film

Foam Applicator (1ml) 3824 5 393Foam Applicator (2ml) 3825 5 520

LBF Sterile No Sting Barrier Film Spray 3827 30ml 6123826 50ml 1038

Ostagel Skin Cleanser bottle 8801 100ml 296sachets 1.5ml 8802 30 945

Welland Stoma Paste WSP 100 100g 822

CliniSupplies Ltd ZenSetiv Hydrocolloid Paste A2001 57g 385ZenSetiv Protective Powder A2018 28.3g 198

Coloplast Ltd Brava Coloplast Strip Paste 2655 10 strips 815Brava Ostomy Powder 1907 25g 247Brava Paste 12050 60g 654Brava Skin barrier cream 12000 60ml 513Brava Skin barrier spray 12020 50ml 1212Brava Skin barrier wipe 12021 30 2301Brava Skin Cleanser 12080 3x15 1603Comfeel Barrier Cream 4720 60g 503Conveen Prep 62042 54 1090Derma-gard Skin Wipes 6751101000 50 1761Paste 2650 60g 665

ConvaTec Ltd ConvaCare Protective Barrier Wipes S209 100 wipes 1881ConvaTec Silesse Sting Free Skin Barrier Wipes

TR103 30 2229

ConvaTec Silesse Sting Free Skin Barrier Soft-Pump Spray

TR104 50ml 1173

Orabase Paste S103 30g 220 K

Orahesive Powder S106 25g 253Sensi-Care Sting Free Protective Skin Barrier

Spray Barrier 420797 28ml 573Barrier Foam Applicator (1ml) 420793 5 458

(3ml) 420795 5 666Stomahesive Paste S105 60g 787

Manufacturer Appliance Order No. Quantity List Price p

793

Part IXC 11/2019STOMA APPLIANCES

SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes)

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac Non Sting skin protector wipes 081-30 30 sachets 2442Soft Paste 77550-0 50g 377

Derma Sciences Europe Ltd

Medihoney Barrier Cream 50g tube 484

20 sachets 604

Fontus Health Ltd AproDerm Barrier Cream APR525M 30g 250APR561R 100g 550

Great Bear Healthcare Ltd

GB Soft Skin No Sting Barrier Wipes 10381B 30 2390

Hollister Ltd Adapt Barrier Strips (6g strip) 79400 10 strips 806Adapt Paste 79300 60g 404

79301 20x14g 2605Adapt Stoma Powder 7906 1 269

Karaya Paste 7910 128g 882Karaya Powder 7905 71g 1016

Skin Gel Protective Dressing Wipes 7917 50 1451

Ilex Health Products Ltd

Ilex Skin Protectant Paste IP51 57g 835

Manfred Sauer UK Ltd

Preventox Skin Protecting Film Individually Packed Wipes

50.50 50 957

Preventox Skin Protecting Film withRoll-on applicator

50.58 50ml 785

Medicareplus International Ltd

Medi Derma-Pro Foam & Spray Incontinence Cleanser

63582 250ml 595

Medi Derma-Pro Skin Protectant Ointment

63605 115g 850

Medi Derma-S Barrier Cream 60338 20 sachets 585Medi Derma-S Barrier Cream 60628 28g 298

60345 90g 595Medi Derma-S Non Sting Medical Barrier Film Aerosol

60819 50ml 895

Medi Derma-S Non Sting Medical Barrier Film Pump Spray

60796 30ml 535

Medi Derma-S Non Sting Medical Barrier Film Wipes

60307 30 1940

Medi Derma-S Sterile Non Sting Medical Barrier Film Applicators

1ml 61076 5 3703ml 61090 5 595

794

Part IXC 11/2019STOMA APPLIANCES

SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes)

Medline Industries Ltd Remedy Barrier Moisturising Cream MSCE92534PK 2ml 34MSCE092531 30ml 309MSCE309534 118ml 595

Sureprep No-Sting Barrier Film Spray MSC1528 28ml 576Sureprep No-Sting Barrier Film

Foam Applicators (Sterile) (1ml) MSC1510 25 1925(3ml) MSC1513 25 3300

Sureprep No-Sting Barrier Wipes MSC1505 50 2250

Oakmed Ltd Stoma Paste SP 008 56g tube 775Stoma Powder OSP 30g 297

Oberos Ltd Sopinol Skin Protectant 4495FP 75g 788

Opus Healthcare LaVera Barrier Cream 3300 30 sachets 11953301 100g 1062

SkinSafe Non Sting Protective Film 6600 50 sachets 4185

SkinSafe Non Sting Protective Film Spray

6601 50ml 849

Partners Clinical Ltd Aldanex Skin Protectant

5274 85g 700

5273 115g 948

S G & P Payne Payne's Barrier Cream 1320 50g 439

Pelican Healthcare Ltd

Cohesive Paste 839010 60g 895Pelican Paste 130101 100g 839Pelican Platinum with Vitamin E Barrier Cream

130100E 60g 503

Pelican Platinum with Vitamin E Barrier Film Spray

130200E 50ml 940

Pelican Platinum with Vitamin E Barrier Film Wipes

130300E 30 sachets 2250

Pelican Protect 133004 30 2614Pelican Protect Plus Non-Sting BarrierFilm Spray

130261 50ml 968

Pelican Protect Plus Non-Sting BarrierFilm Wipes

130260 30 2625

Pelican Ultra Barrier Cream 130105 50g 500

ProSys International Ltd

Independence Fusion applicator1ml BW3 5 4993ml BW2 5 808

Independence No Sting Barrier Film Wipes

BW1 30 sachets 2522

Manufacturer Appliance Order No. Quantity List Price p

795

11/2019 Part IXCSTOMA APPLIANCES

SKIN FILLERS AND PROTECTIVES (Barrier Creams, Pastes, Aerosols, Lotions, Powders, Gels and Wipes)

Manufacturer Appliance Order No. Quantity List Price p

Respond Healthcare Ltd

Cleanse No Rinse Skin Cleansing Gel (formerly OstoMart OstoCLENZ No rinse Skin Cleansing Gel)

LGS2 100ml 292

(sachets 2ml) LGS3 30 1248

Guard Barrier Cream (formerly OstoMart OstoGuard Barrier Cream)

RMC1 60g 503

(sachets 2g) RMC2 20 833

Guard Non Sting Barrier Film (formerly OstoMart OstoGuard No Sting Barrier Film and OstoMart OstoGuard No sting protective skin barrier film)

(spray bottle) RMC5 50ml 1095(3ml sachet) RMC3 30 2135(dabber bottle) RMC4 30ml 657

Renew Protective Powder with aloe vera (formerly OstoMart OstoSEAL Protective Powder)

ABP2 50g 496

Rhodes Pharma Ltd StoCare Protect No-Sting Protective Barrier Film Spray

STC 150 50ml 790

StoCare Protect Barrier Wipes STC 250 30 1295

Salts Healthcare Salts Barrier Film Foam Applicators (1ml)PPS2 5 409

Salts Barrier Film WipesPPS1 30 1617

Salts No-Sting Stoma PasteNSP1 60g 726

Salts Stoma PasteSP60 60g 391

Smith & Nephew Healthcare Ltd

Proshield Foam & Spray skin cleanser 8213 0150 08 235ml 661Proshield Plus skin protective 8213 0300 04 115g 994Secura

Foam Applicator (sterile) 1ml 66800789 5 4243ml 66800787 5 681

Protective Wipes 66800712 50 wipes 2394Pump Spray 66800710 28ml 583

Skin-Prep Wipes 59420425 50 1774

Thornton & Ross Ltd

Zerolon Barrier Cream 162758 28g 233162757 92g 506

Trio Healthcare Ltd Elisse Sting Free Skin Barrier Wipes TR203 30 1998Elisse Sting Free Skin Barrier Spray TR204 50ml 998Silken Silicone Stoma Gel TR1070 60g 767

Welland Medical Ltd See CliniMed Ltd

796

11/2019 Part IXCSTOMA APPLIANCES

SKIN PROTECTORS(Wafers, Blankets, Foam Pads, Washers)

All products in this category qualify for the stoma customisation fee.

Manufacturer Appliance Order No. Quantity List Price pC S Bullen Ltd Karaya Gum Washers in tins

51mm diameterRegular

51mm x 22mm opening UF601 10 135151mm x 29mm opening UF602 10 1351

Extra Hard51mm x 22mm opening UF6601 10 135151mm x 29mm opening UF6602 10 1351

64mm diameterRegular

64mm x 32mm opening UF603 10 1566Extra Hard

64mm x 32mm opening UF6603 10 1566

76mm diameterRegular

76mm x 22mm opening UF 604 10 179676mm x 29mm opening UF 605 10 179676mm x 38mm opening UF 606 10 179676mm x 51mm opening UF 607 10 1796

Extra Hard76mm x 22mm opening UF 6604 10 179676mm x 29mm opening UF 6605 10 179676mm x 38mm opening UF 6606 10 179676mm x 51mm opening UF 6607 10 1796

CliniMed Ltd Hyperseal washersSmall (2.5mm thick) HWA 300 20 2605Small (4mm thick) HWA 400 20 3244Large (2.5mm thick) HWA 350 5 1085

Hyperseal washers with Manuka honey2.5mm

19mm (50mm outer diameter) MHWA 300 20 259419mm (100mm outer diameter) MHWA 350 5 108130mm (60mm outer diameter) MHWA 310 30 390440mm (70mm outer diameter) MHWA 320 30 507650mm (80mm outer diameter) MHWA 330 30 5523

4mm19mm (50mm outer diameter) MHWA 400 20 3244

CliniSupplies Ltd ZenSetiv Hydrocolloid Mouldable Rings50mm diameter (2.5mm thick) A2010 20 232450mm diameter (4mm thick) A2011 20 2380100mm diameter (2.5mm thick) A2013 10 2047

797

11/2019 Part IXCSTOMA APPLIANCES

SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers)

Coloplast Ltd Brava Coloplast Protective Sheets Non Sterile10cm x 10cm 3210 10 252115cm x 15cm 3215 5 301820cm x 20cm 3220 5 5492

Brava Mouldable rings48mm x 2mm 12030 30 598548mm x 4.2mm 12042 30 6096

Brava Protective Seal2.5mm

18-48mm 12035 30 588518-57mm 12036 30 615018-64mm 12038 30 627027-57mm 12037 30 609834-64mm 12039 30 6220

4.2mm18-48mm 12045 30 597618-57mm 12046 30 633018-64mm 12048 30 648027-57mm 12047 30 628134-64mm 12049 30 6434

Coloplast Protective Rings10mm 2310 30 442515mm 2315 30 442520mm 2320 30 442525mm 2325 30 442530mm 2330 30 442540mm 2340 30 442550mm 2350 30 4425

ConvaTec Ltd ConvaTec Stomahesive Seal48mm x 4mm 413503 10 195948mm x 3mm 413504 10 192198mm x 3mm 413505 10 2616

Stomahesive Wafers100mm x 100mm S100 5 1245200mm x 200mm S101 3 3051

Dansac Ltd Dansac GX-tra SealsWashers

20mm (50mm outer diameter) 725-20/30 30 442930mm (60mm outer diameter) 725-30/30 30 442940mm (70mm outer diameter) 725-40/30 30 442950mm (80mm outer diameter) 725-50/30 30 4429

Dansac Seals20mm (45mm outer diameter) 070-20 30 694130mm (57.5mm outer diameter) 070-30 30 694140mm (70mm outer diameter) 070-40 30 694150mm (82.5mm outer diameter) 070-50 30 6941

Dansac TRE Seals20mm (45mm diameter) 071-20 30 694330mm (57.5mm diameter) 071-30 30 694340mm (70mm diameter) 071-40 30 6943

Manufacturer Appliance Order No. Quantity List Price p

798

Part IXC 11/2019STOMA APPLIANCES

SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers)

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Adapt Barrier Rings48mm 7805 10 183498mm 7806 10 2311

Adapt CeraRing48mm x 4.45mm 8805 10 229048mm x 2.3mm 8815 10 2290

Adapt CeraRing Convex Barrier Ring20mm 89520 10 232430mm 89530 10 232440mm 89540 10 2324

Adapt CeraRing Oval Convex Barrier Ring22mm x 38mm 89601 10 241530mm x 48mm 89602 10 241538mm x 56mm 89603 10 2415

Adapt Conformable Convex Barrier Rings17-26mm 79520 10 184527-36mm 79530 10 184537-46mm 79540 10 1845

Adapt Oval Convex Barrier Rings22mm x 38mm 79601 10 194130mm x 48mm 79602 10 194138mm x 56mm 79603 10 1941

Adapt Slim Barrier Rings48mm 7815 10 1821

Hollister Skin Barrier102mm x 102mm 7700 5 1259203mm x 203mm 7701 4 3962

Jade-Euro-Med Ltd White Foam Pads76mm diam

25mm opening WJ275-25-A 5 60429mm opening WJ275-29-J 5 82732mm opening WJ275-32-W 5 82738mm opening WJ275-38-K 5 827

90mm diam32mm opening WJ290-32-L 5 82738mm opening WJ290-38-Y 5 827

Oakmed Ltd Option Seals Rings20mm WM-100 10 1966

Option Slim Seals20mm WM-500 10 1966

Omex Medical Ltd Schacht Foam RingsColostomy 784885 10 737Ileostomy 784893 10 737

799

11/2019 Part IXCSTOMA APPLIANCES

SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers)

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd Varimate hydrocolloid double-sided adhesive wedgesSmall VMW60 60 3049Large VMW40 40 3049

Varimate Resist hydrocolloid double-sided adhesivewashers

Small VMR 5018 20 3915Large VMR 7025 20 5117

Varimate Resist double-sided adhesive washersEye Shaped starter hole 18-35mm VMR EYE 10 2559

Pelican Healthcare Ltd Cohesive Seals Large 98mm 839001 10 2657Small 48mm 839002 30 5969

Cohesive SlimsSmall 48mm 839005 30 5855

Eakin Cohesive Skin Barrier Small 10cm x 10cm 839004 5 1253Large 10cm x 20cm 839003 5 2506

Eakin Cohesive StomaWrap 839006 10 1935

Respond Healthcare Ltd

OstoMart Astoa Mouldable Adhesive Ring SealThin AMRT30 30 5028Standard AMRS30 30 5132

Salts Healthcare Foam Seals as in small twin pack 833031 10 236

Salts Aloe Rings25mm SAR25 30 366532mm SAR32 30 366538mm SAR38 30 366545mm SAR45 30 3665

Salts Mouldable SealsThin SMST 30 5174Standard SMSS 30 5256Large SMSL 10 2354

Salts Mouldable Seals with Aloe Thin 15-40mm SMSAT15 30 5132

35-70mm SMSAT35 30 5132Standard15-40mm SMSAS15 30 5213

35-70mm SMSAS35 30 5213Large 15-100mm SMSAL 10 2335

Salts Protective Wafer10cm x 10cm PW1010 10 242815cm x 15cm PW1515 5 2605

800

11/2019 Part IXCSTOMA APPLIANCES

SKIN PROTECTORS (Wafers, Blankets, Foam Pads, Washers)

Salts Healthcare Salts Stoma Collarup to 20mm DC20 30 569523mm DC23 30 586126mm DC26 30 586129mm DC29 30 586132mm DC32 30 586135mm DC35 30 586138mm DC38 30 5861up to 41mm DC41 30 5695

SASH SoftPads SP101 8 1294

T J Shannon Ltd Kaygee Washers64mm base

(29mm or 22mm hole) 10 71870mm base

(35mm or 22mm hole) 10 718

Trio Healthcare Ltd Siltac Silicone Ostomy Seal20-28mm TR1020 30 591028-35mm TR1028 30 591035-44mm TR1035 30 7695

Silvex Silicone Convex Seal20-30mm TR1020CX 10 178230-40mm TR1030CX 10 1782

Welland Medical Ltd See CliniMed Ltd

Manufacturer Appliance Order No. Quantity List Price p

801

11/2019 Part IXCSTOMA APPLIANCES

STOMA CAPS/DRESSINGS

Only products marked with the symbol z in this category qualify for the stoma customisation fee.

Products marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical zo Biotrol Petite F00015E 30 394715-35mm (starter hole) F00011E 30 3947

C S Bullen Ltd zo Shelter StomacapMicroporous adhesive

cut-to-fit13mm-64mm 1240/00 15 1524

pre-cut19mm 1240/19 15 152425mm 1240/25 15 152432mm 1240/32 15 152438mm 1240/38 15 152444mm 1240/44 15 152451mm 1240/51 15 152458mm 1240/58 15 152464mm 1240/64 15 1524

Mini Stomacapcut-to-fit

10mm-32mm 1740/00 50 4588Microporous adhesive, bio dressing resin

cut-to-fit13mm-64mm 1245/00 15 1830

pre-cut19mm 1245/19 15 183025mm 1245/25 15 183032mm 1245/32 15 183038mm 1245/38 15 183044mm 1245/44 15 183051mm 1245/51 15 183058mm 1245/58 15 183064mm 1245/64 15 1830

Coloplast Ltd zo Assura Minicap Opaque 20mm starter hole

2501 30 4198

ConvaTec Ltd zo Colodress Plus Stoma Cap 19mm starter hole

S821 30 4069

Dansac Ltd zo Dansac Nova Mini Caps (Opaque)cut-to-fit

20-50mm 829-20 30 4078pre-cut

25mm 829-25 30 407830mm 829-30 30 407840mm 829-40 30 407850mm 829-50 30 4078

Hollister Ltd zo Hollister Stoma Cap51mm 3184 30 408776mm 3186 30 4087

802

11/2019 Part IXCSTOMA APPLIANCES

STOMA CAPS/DRESSINGS

Manufacturer Appliance Order No. Quantity List Price p

Oakmed Ltd zo Option Stoma Cap 1320K 50 5943zo Option Stoma Cap with Soft Covering and Filter Opaque for:-

cut-to-fit 20mm - 50mm 1420K 50 645450mm flange 1750K 30 3516

zo Option Stoma Cap Mini with Soft Covering Opaque for:-cut-to-fit 20mm - 40mm 1120K 50 6343

zo Option Stoma Cap with Soft Covering Opaque for:-cut-to-fit 20mm - 50mm 1520K 50 6343

Peak Medical Ltd zo Colomate Mini Stoma Cap with superabsorbent pad 1-piece beige 6cm diameter, pre-cut 20mm CCS120 30 38657cm diameter, pre-cut 25mm CCS125 30 38658.5cm diameter, pre-cut 30mm CCS130 30 3865

zo Colomate Stoma Cap 1-piece beige high capacity bar filtercut-to-fit 13mm - 50mm CCB113 30 4205pre-cut 20mm CCB120 30 4205pre-cut 35mm CCB135 30 4205

Pelican Healthcare zo Pelican Select Minuet10-40mm (starter hole) 102380 30 4194

zo Pelican Select Minuet Plus Stoma Cap10-55mm (starter hole) 102382 30 4194

Salts Healthcare zo Confidence Gold Stomacap with Filterstarter hole

13mm SCG13 30 3699

Welland Medical Ltd

zo Welland Aura Stoma Cap with soft cover, Dual Carb 2 filter and flange containing Manuka honey

Beigecut-to-fit

13mm-40/50mm MHSS513 30 4053

Ward Surgical Appliance Co

Two zip fasteners fitted to colostomy belt

36 1 795

Waterproof front, fitted to colostomy belt

37 1 656

zo Donald Rose rubber ileo/colostomy bath belt with internal chamber for dressings, with stud fastenings for adjustment

51 1 1970

803

11/2019 Part IXCSTOMA APPLIANCES

TUBING AND ACCESSORIES

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Premium Urostomy drain tube adaptor 7331 10 2421Universal catheter access port 9779 8 4264

Oakmed Ltd Urostomy drainage tube adaptor UDA 5 1200

Peak Medical Ltd Urostomy Night Drainage Adaptor AD10 10 2307

Salts Healthcare Salts Night Tube Adaptor 833043 2 120Urostomy Night Drainage Adaptor NDA6 6 1328

Ward Surgical Appliance CoMetal Spring Tubing Clip 48 1 221

804

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Only products marked with the symbol z in this category qualify for the stoma customisation fee.Products marked with the symbol o in this category must be dispensed with a supply of wipes anddisposal bags.

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical Almarys Twin +z Base Plate

40mm (15-35mm) 036240E 10 3279

z Convex Base Plate40mm/20mm 036343E 5 169950mm/30mm 036353E 5 169980mm/17-60mm 036385E 5 1699

o Closed Pouch with filter and protective coverBeige 60mm 037260E 30 4712

Biotrol LockRing 2z Hydrocolloid Flange

35mm 24-235 5 1534

o Closed BagBeige 35mm 22-835 30 3830

75mm 22-875 30 3830

Softima 3S z Base Plate

cut-to-fit 45/15-30mm 936415E 10 395955/15-40mm 936515E 10 395965/15-50mm 936615E 10 395980/15-65mm 936815E 10 3959

o Closed PouchMini Beige

55mm 931255E 30 4812Midi Beige

45mm 931045E 30 481255mm 931055E 30 481265mm 931065E 30 4812

Midi Transparent55mm 931155E 30 4812

Maxi Beige45mm 931445E 30 481255mm 931455E 30 481265mm 931465E 30 481280mm 931480E 30 4812

Maxi Transparent65mm 931565E 30 4812

z Convex Base Platecut-to-fit 45mm/15-26mm 937415E 5 2051

55mm/15-36mm 937515E 5 205165mm/15-46mm 937615E 5 2051

805

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

B. Braun Medical o Drainable PouchMini Beige

55mm 932255E 30 5305Midi Beige

45mm 932045E 30 530555mm 932055E 30 530565mm 932065E 30 5305

Midi Transparent55mm 932155E 30 5305

Maxi Beige45mm 932445E 30 530555mm 932455E 30 530565mm 932465E 30 530580mm 932480E 30 5305

Maxi Transparent65mm 932565E 30 5305

o High Flow Drainable collection pouchBeige 55mm 933055E 30 12573

65mm 933065E 30 1257380mm 933080E 30 12573

Transparent55mm 933155E 30 1257365mm 933165E 30 1257380mm 933180E 30 12573

o Urostomy PouchBeige 45mm 934045E 30 11251

55mm 934055E 30 1125165mm 934065E 30 11251

Transparent45mm 934145E 30 1125155mm 934155E 30 1125165mm 934165E 30 11251

Softima Keyo Drainable Pouch with Filter and Flow Control

Beige 60mm 63360E 30 5343

o Closed Pouch with FilterBeige 40mm 63140E 30 5409

50mm 63150E 30 540960mm 63160E 30 540980mm 63180E 30 5409

Transparent40mm 63240E 30 540950mm 63250E 30 540960mm 63260E 30 540980mm 63280E 30 5409

z Flexible Base Plate40mm 63040E 10 401350mm 63050E 10 401360mm 63060E 10 401380mm 63080E 10 4013

Manufacturer Appliance Order No. Quantity List Price p

806

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price pB Braun Medical z Softima Key Convex

Flexible Baseplatecut-to-fit

50/15-25mm 63052E 5 208360/15-35mm 63062E 5 208360/15-45mm 63063E 5 2083

pre-cutP 50/20mm 63054E 5 2083

60/25mm 63064E 5 208360/30mm 63066E 5 208360/35mm 63067E 5 208360/40mm 63069E 5 2083

o Softima Key Mini Roll’UpBeige

50mm 631253E 30 5332

o Softima Key Roll’UpBeige

40mm 631241E 30 534350mm 631251E 30 534360mm 631261E 30 534380mm 631281E 30 5343

Transparent40mm 631240E 30 534350mm 631250E 30 534360mm 631260E 30 534380mm 631280E 30 5343

C S Bullen Ltd Shelterz Flexible Plate Microporous adhesive and Bio dressing resin

38mm 745/38 5 114745mm 745/45 5 114757mm 745/57 5 1147

z Rigid Plate Bio dressing resin38mm 750/38 5 112745mm 750/45 5 112757mm 750/57 5 1127

o Closed Pouch38mm 2700/38 10 104645mm 2700/45 10 104657mm 2700/57 10 1046

o Drainable Pouch38mm 3700/38 10 104645mm 3700/45 10 104657mm 3700/57 10 1046

o Stoma Cap38mm 1700/38 10 90245mm 1700/45 10 90257mm 1700/57 10 902

o Drainable Pouch Extra Large38mm 4700/38 10 125545mm 4700/45 10 125557mm 4700/57 10 125570mm 4700/70 10 1255

Pto be deleted 1 January 2020

807

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd z Assura Base Plates with 10mm starter hole:40mm for 15-35mm stoma 13141 5 173450mm for 15-45mm stoma 13151 5 173460mm for 15-55mm stoma 13161 5 1734

Convex inserts for use with the above - see "Pressure Plates"

z Assura Base Plates 40mm for paediatricbags

2180 5 1760

o Assura Closed Bags:Paediatric Opaque

40mm 2160 30 3340Mini Opaque

40mm 2724 30 367950mm 2725 30 3679

Midi Clear40mm 2774 30 447850mm 2775 30 447860mm 2776 30 4478

Midi Opaque40mm 2764 30 447850mm 2765 30 447860mm 2766 30 4478

Maxi Clear40mm 2784 30 447850mm 2785 30 447860mm 2786 30 4478

Maxi Opaque40mm 2814 30 447850mm 2815 30 447860mm 2816 30 4478

Minicap Opaque40mm 2804 30 358250mm 2805 30 3582

o Assura Drainable BagsPaediatric Opaque

40mm 2150 30 3872Midi Opaque

40mm 2744 30 447850mm 2745 30 4478

Maxi Clear40mm 2794 30 447850mm 2795 30 447860mm 2796 30 4478

Maxi Opaque40mm 2824 30 447850mm 2825 30 447860mm 2826 30 4478

808

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Coloplast Ltd z Assura ExtraBase Plates

40mm flange 2831 5 208650mm flange 2832 5 208660mm flange 2833 5 2086

o Assura Multichamber Urostomy BagMidi Transparent

40mm 14217 30 894150mm 14218 30 8941

Maxi Transparent40mm 14227 30 894150mm 14228 30 894160mm 14229 30 8941

Midi White40mm 14214 30 894150mm 14215 30 894160mm 14216 30 8941

Maxi White40mm 14224 30 894150mm 14225 30 894160mm 14226 30 8941

z Assura Seal ExtraBase Plates with integral deep convexity

40mm flange starter hole 15-23mm 14243 5 208650mm flange starter hole 15-33mm 14246 5 208660mm flange starter hole 15-43mm 14249 5 2086

z Assura Seal Integral Convexity Baseplates40mm flange for 15mm pre-cut 12721 5 165240mm flange for 18mm pre-cut 12722 5 165240mm flange for 21mm pre-cut 12723 5 165250mm flange starter hole 15mm 12717 5 165250mm flange for 25mm pre-cut 12724 5 165250mm flange for 28mm pre-cut 12725 5 165250mm flange for 31mm pre-cut 12726 5 165260mm flange starter hole 15-43mm 12718 5 165260mm flange for 35mm pre-cut 12727 5 165260mm flange for 38mm pre-cut 12728 5 165260mm flange for 41mm pre-cut 12729 5 1652

z Assura Soft Seal Baseplates with shallow convexity40mm flange starter hole 15-23mm 14261 5 185440mm flange 18mm pre-cut 14271 5 185440mm flange 21mm pre-cut 14272 5 185450mm flange starter hole 15-33mm 14262 5 185450mm flange 25mm pre-cut 14273 5 185450mm flange 28mm pre-cut 14274 5 185450mm flange 31mm pre-cut 14275 5 185460mm flange starter hole 15-43mm 14263 5 185460mm flange 35mm pre-cut 14276 5 185460mm flange 38mm pre-cut 14277 5 185460mm flange 41mm pre-cut 14278 5 1854

Manufacturer Appliance Order No. Quantity List Price p

809

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd z Assura Soft Seal Extra Baseplate40mm flange starter hole 15-23mm 14281 5 204550mm flange starter hole 15-33mm 14282 5 204560mm flange starter hole 15-43mm 14283 5 204540mm flange pre-cut 21mm 14292 5 204550mm flange pre-cut 25mm 14293 5 204550mm flange pre-cut 28mm 14294 5 204550mm flange pre-cut 31mm 14295 5 204560mm flange pre-cut 35mm 14296 5 204560mm flange pre-cut 41mm 14298 5 2045

o Assura Urostomy Bag (include 4 drain tube adaptors per pack)Midi Clear with soft backing on body-worn side

40mm 2854 30 894150mm 2855 30 8941

Maxi Clear with soft backing on body-worn side40mm 2874 30 894150mm 2875 30 894160mm 2876 30 8941

Paediatric Clear with soft backing on body-worn side40mm 2175 30 8941

Paediatric Opaque with soft backing on body-worn side40mm 2170 30 8941

o Assura InspireClosed Bag with integral filter and soft backing

Midi Transparent40mm 12344 30 453950mm 12345 30 453960mm 12346 30 4539

Maxi Transparent40mm 12374 30 453950mm 12375 30 453960mm 12376 30 4539

Closed Bag with integral filter and opaque soft cover front and backMidi Soft Cover

40mm 12354 30 453950mm 12355 30 453960mm 12356 30 4539

Maxi Soft Cover40mm 12384 30 453950mm 12385 30 453960mm 12386 30 4539

Closed Bag with integral filter and soft cover front and backMidi Design

40mm 12364 30 453950mm 12365 30 453960mm 12366 30 4539

Maxi Design40mm 12394 30 453950mm 12395 30 453960mm 12396 30 4539

810

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Coloplast Ltd o Assura Inspire with Hide-away outletDrainable Bag with integral filter and soft backing with Hide-away outlet.

Midi Transparent40mm 13944 30 481650mm 13945 30 481660mm 13946 30 4816

Maxi Transparent40mm 13974 30 481650mm 13975 30 481660mm 13976 30 4816

Drainable Bag with integral filter, opaque soft cover front and back with Hide-awayoutlet.

Mini Soft Cover40mm 13924 30 481650mm 13925 30 4816

Midi Soft Cover40mm 13954 30 481650mm 13955 30 481660mm 13956 30 4816

Maxi Soft Cover40mm 13984 30 481650mm 13985 30 481660mm 13986 30 4816

Drainable Bag with integral filter, opaque design soft cover front and back with Hide-away outlet.

Midi Design40mm 13964 30 481650mm 13965 30 481660mm 13966 30 4816

o Coloplast Micro-bag 2 piece urostomy bag40mm 14204 30 786950mm 14205 30 786960mm 14206 30 7869

o Coloplast Uro Minicap 2 pieceOpaque with 40mm coupling 2807 30 14955Opaque with 50mm coupling 2808 30 14903

z Easiflex Baseplate35mm flange, starter hole 10-33mm 14301 10 400950mm flange, starter hole 10-48mm 14302 10 400970mm flange, starter hole 10-68mm 14303 10 400990mm flange, starter hole 15-88mm 14309 5 1970Extra 35mm flange, starter hole 10-33mm

14304 10 4009

Extra 50mm flange, starter hole 10-48mm

14305 10 4009

Extra 70mm flange, starter hole 10-68mm

14306 10 4009

50mm flange, pre-cut 31mm 14387 10 400950mm flange, pre-cut 35mm 14388 10 4009Paediatric17mm flange, starter hole 0-15mm 14307 10 393927mm flange, starter hole 0-25mm 14308 10 3939

Manufacturer Appliance Order No. Quantity List Price p

811

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd o Easiflex Closed Bags with Dual FilterMidi Soft Cover

35mm 14464 30 540550mm 14465 30 5405

Maxi Soft Cover50mm 14485 30 540570mm 14479 30 5405

o Easiflex Drainable Bags with Hide-Away OutletMidi Transparent

50mm 14342 30 5337Midi Soft Cover

35mm 14346 30 533750mm 14347 30 5337

Maxi Transparent35mm 14356 30 533750mm 14357 30 533770mm 14344 30 5337

Maxi Soft Cover35mm 14361 30 533750mm 14362 30 533770mm 14349 30 5337

Extra Large Transparent70mm 14359 30 5337

Extra Large Soft Cover70mm 14364 30 5337

Paediatric Transparent17mm 14681 30 533727mm 14682 30 5337

Paediatric Design17mm 14691 30 533727mm 14692 30 5337

XXL Transparent90mm 14378 30 5337

XXL Soft Cover90mm 14379 30 5337

z Easiflex Soft Seal baseplate35mm flange, starter hole 15-23mm 14401 5 204750mm flange, starter hole 15-33mm 14402 5 204750mm flange, starter hole 15-43mm 14403 5 204735mm flange, pre-cut 21mm 14642 5 204750mm flange, pre-cut 25mm 14643 5 204750mm flange, pre-cut 28mm 14644 5 204750mm flange, pre-cut 31mm 14645 5 204750mm flange, pre-cut 35mm 14646 5 204770mm flange, starter hole 15-61mm 14406 5 2047

z Easiflex Soft Seal Extra baseplate35mm flange, starter hole 15-23mm 14601 5 225350mm flange, starter hole 15-33mm 14602 5 225350mm flange, starter hole 15-43mm 14603 5 225370mm flange, starter hole 15-61mm 14408 5 2253

812

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Coloplast Ltd o Easiflex Uro Multichamber 2 piece urostomy bagMaxi Transparent

35mm 14552 30 1161850mm 14554 30 11618

Maxi White35mm 14553 30 1161850mm 14555 30 11618

o SenSura Click Dual Filter Closed Bags 2-piece closed bags, mechanical couplingwith dual filter

Mini Closed Soft Cover 40mm coupling 13304 30 489150mm coupling 13305 30 4891

Midi Closed Soft Cover40mm coupling 13314 30 489150mm coupling 13315 30 489160mm coupling 13316 30 4891

Maxi Closed Soft Cover40mm coupling 13324 30 489150mm coupling 13325 30 489160mm coupling 13326 30 489170mm coupling 13327 30 4891

Maxi Closed Clear40mm coupling 13394 30 489150mm coupling 13395 30 489160mm coupling 13396 30 489170mm coupling 13397 30 4891

o SenSura Click Dual Filter Drainable Bags 2-piece drainable bags mechanicalcoupling with dual filter

Mini Open Soft Cover 50mm coupling 14875 30 5188

Midi Open Soft Cover40mm coupling 14884 30 518850mm coupling 14885 30 518860mm coupling 14886 30 5188

Maxi Open Soft Cover40mm coupling 14894 30 518850mm coupling 14895 30 518860mm coupling 14896 30 518870mm coupling 14897 30 5188

Maxi Open Clear50mm coupling 14905 30 518860mm coupling 14906 30 518870mm coupling 14907 30 5188

z SenSura Click Flat Baseplate 2-piece mechanical coupling flat baseplate40mm Coupling cut-to-fit 10-35mm 10011 5 199750mm Coupling cut-to-fit 10-45mm 10021 5 199760mm Coupling cut-to-fit 10-55mm 10031 5 199770mm Coupling cut-to-fit 10-65mm 10041 5 1997

Manufacturer Appliance Order No. Quantity List Price p

813

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd o SenSura Click Multichamber 2-piece urostomy bag with mechanical couplingMidi Soft Cover

40mm coupling 11841 30 894150mm coupling 11842 30 8941

Midi Clear40mm coupling 11851 30 894150mm coupling 11852 30 8941

Maxi Soft Cover40mm coupling 11844 30 894150mm coupling 11845 30 894160mm coupling 11846 30 8941

Maxi Clear40mm coupling 11854 30 894150mm coupling 11855 30 894160mm coupling 11856 30 8941

z SenSura Click Soft Seal Baseplate 2-piece mechanical coupling, shallow convexityBaseplate

40mm Coupling cut-to-fit 15-23mm 11011 5 2036pre-cut 21mm 11012 5 2036

50mm Couplingcut-to-fit 15-33mm 11021 5 2036pre-cut 25mm 11022 5 2036pre-cut 28mm 11023 5 2036pre-cut 31mm 11024 5 2036

60mm Couplingcut-to-fit 15-43mm 11031 5 2036pre-cut 35mm 11032 5 2036

70mm Coupling cut-to-fit 15-53mm 11041 5 2036

z SenSura Click Xpro Baseplate with mechanical coupling40mm coupling, cut-to-fit 10-35mm 10015 5 208640mm coupling, pre-cut 20mm 10016 5 208640mm coupling, pre-cut 25mm 10017 5 208650mm coupling, cut-to-fit 10-45mm 10025 5 208650mm coupling, pre-cut 30mm 10026 5 208650mm coupling, pre-cut 35mm 10027 5 208660mm coupling, cut-to-fit 10-55mm 10035 5 208660mm coupling, pre-cut 40mm 10036 5 208670mm coupling, cut-to-fit 10-65mm 10045 5 2086

z SenSura Click Xpro Soft Seal Baseplate with mechanical coupling40mm coupling, cut-to-fit 15-23mm 11015 5 204540mm coupling, pre-cut 21mm 11016 5 204550mm coupling, cut-to-fit 15-33mm 11025 5 204550mm coupling, pre-cut 25mm 11026 5 204550mm coupling, pre-cut 31mm 11028 5 204560mm coupling, cut-to-fit 15-43mm 11035 5 204560mm coupling, pre-cut 35mm 11036 5 204570mm coupling, cut-to-fit 15-53mm 11045 5 2045

814

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Coloplast Ltd z SenSura Flex Base PlateWith Adhesive Coupling

35mm coupling, cut-to-fit 10-33mm 10101 10 400950mm coupling, cut-to-fit 10-48mm 10102 10 400970mm coupling, cut-to-fit 10-68mm 10103 10 400990mm coupling, cut-to-fit 10-88mm 10108 5 197035mm coupling, pre-cut 21mm 10111 10 400935mm coupling, pre-cut 25mm 10112 10 400935mm coupling, pre-cut 28mm 10113 10 400950mm coupling, pre-cut 25mm 10114 10 400950mm coupling, pre-cut 28mm 10115 10 400950mm coupling, pre-cut 31mm 10116 10 400950mm coupling, pre-cut 35mm 10117 10 400950mm coupling, pre-cut 41mm 10118 10 4009

o SenSura Flex Closed Bags Dual Filter with Adhesive CouplingMini Closed Soft Cover

35mm coupling 13224 30 5405Midi Closed Soft Cover

35mm coupling 13204 30 540550mm coupling 13205 30 5405

Maxi Closed Soft Cover35mm coupling 13214 30 540550mm coupling 13215 30 540570mm coupling 13218 30 5405

Maxi Closed Clear50mm coupling 13212 30 540570mm coupling 13217 30 5405

XL Closed Soft Cover70mm coupling 13220 30 5405

XXL Closed Soft Cover90mm coupling 13291 30 5405

o SenSura Flex Drainable Bagswith Dual Filter with Adhesive Coupling and Hide-away OutletMini Open Soft Cover

35mm coupling 14914 30 5237Midi Open Soft Cover

35mm coupling 14924 30 533750mm coupling 14925 30 5337

Maxi Open Soft Cover35mm coupling 14934 30 533750mm coupling 14935 30 533770mm coupling 14938 30 5337

Midi Open Clear35mm coupling 14921 30 5337

Maxi Open Clear50mm coupling 14932 30 533770mm coupling 14937 30 5337

XXL Open Clear90mm coupling 14990 30 5337

XXL Open Soft Cover90mm coupling 14991 30 5337

Manufacturer Appliance Order No. Quantity List Price p

815

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd o SenSura Flex Multichamber 2-piece Urostomy Bag with adhesive couplingMidi Soft Cover

35mm coupling 11821 30 1161850mm coupling 11822 30 11618

Maxi Clear35mm coupling 11827 30 1161850mm coupling 11828 30 11618

Maxi Soft Cover35mm coupling 11824 30 1161850mm coupling 11825 30 11618

z SenSura Flex Soft Seal Base Plate Adhesive Coupling with light convexity

35mm coupling, cut-to-fit 15-23mm 11301 5 204750mm coupling, cut-to-fit 10-33mm 11302 5 204750mm coupling, cut-to-fit 10-43mm 11303 5 204770mm coupling, cut-to-fit 15-56mm 11307 5 204735mm coupling, pre-cut 21mm 11312 5 204750mm coupling, pre-cut 25mm 11313 5 204750mm coupling, pre-cut 28mm 11314 5 204750mm coupling, pre-cut 31mm 11315 5 204750mm coupling, pre-cut 35mm 11316 5 204750mm coupling, pre-cut 38mm 11317 5 2047

z SenSura Flex Xpro Baseplate with adhesive coupling35mm coupling, cut-to-fit 10-33mm 10104 10 400950mm coupling, cut-to-fit 10-48mm 10105 10 400970mm coupling, cut-to-fit 10-68mm 10106 10 4009

z SenSura Flex Xpro Soft Seal Baseplate with adhesive coupling35mm coupling, cut-to-fit 15-23mm 11304 5 225350mm coupling, cut-to-fit 15-33mm 11305 5 225350mm coupling, cut-to-fit 15-43mm 11306 5 225370mm coupling, cut-to-fit 15-56mm 11308 5 2253

z SenSura Mio Click 2-piece baseplate with integral light convexity, BodyFitTechnology and mechanical coupling

40mm coupling, starter hole 10-20mm 16901 5 203640mm coupling, pre-cut 18mm (cuts to20mm)

16903 5 2036

50mm coupling, starter hole 15-30mm 16911 5 203650mm coupling, pre-cut 21mm (cuts to30mm)

16913 5 2036

50mm coupling, pre-cut 25mm (cuts to30mm)

16914 5 2036

50mm coupling, pre-cut 28mm (cuts to30mm)

16915 5 2036

60mm coupling, starter hole 15-40mm 16921 5 203660mm coupling, pre-cut 31mm (cuts to40mm)

16923 5 2036

60mm coupling, pre-cut 35mm (cuts to40mm)

16924 5 2036

70mm coupling, starter hole 15-53mm 16931 5 2036

816

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd z SenSura Mio Click 2-piece baseplate with integral deep convexity, BodyFit

Technology and mechanical coupling40mm coupling, starter hole 10-20mm 16941 5 203640mm coupling, pre-cut 18mm (cuts to20mm)

16942 5 2036

50mm coupling, starter hole 15-30mm 16951 5 203650mm coupling, pre-cut 21mm (cuts to30mm)

16953 5 2036

50mm coupling, pre-cut 25mm (cuts to30mm)

16954 5 2036

50mm coupling, pre-cut 28mm (cuts to30mm)

16955 5 2036

60mm coupling, starter hole 15-40mm 16961 5 203660mm coupling, pre-cut 31mm (cuts to40mm)

16963 5 2036

60mm coupling, pre-cut 35mm (cuts to40mm)

16964 5 2036

70mm coupling, starter hole 15-53mm 16971 5 2036

z SenSura Mio Click 2-piece baseplate with mechanical coupling40mm coupling, cut-to-fit 10-35mm 10502 5 199750mm coupling, cut-to-fit 10-45mm 10512 5 199760mm coupling, cut-to-fit 10-55mm 10522 5 199770mm coupling, cut-to-fit 10-65mm 10531 5 1997

o SenSura Mio Click 2-piece closed bags with full-circle filter and mechanicalcoupling

Midi Neutral Grey with window40mm coupling 11201 30 489250mm coupling 11212 30 489260mm coupling 11221 30 4892

Maxi Neutral Grey with window40mm coupling 11202 30 489250mm coupling 11213 30 489260mm coupling 11222 30 489270mm coupling 11225 30 4892

Maxi Transparent50mm coupling 11214 30 489260mm coupling 11223 30 489270mm coupling 11226 30 4892

o SenSura Mio Click 2-piece drainable bags with full-circle filter and mechanicalcoupling

Mini Neutral Grey with window50mm coupling 11241 30 5188

Midi Neutral Grey with window40mm coupling 11231 30 518850mm coupling 11242 30 518860mm coupling 11251 30 5188

Maxi Neutral Grey with window40mm coupling 11232 30 518850mm coupling 11243 30 518860mm coupling 11252 30 518870mm coupling 11261 30 5188

Maxi Transparent50mm coupling 11244 30 518860mm coupling 11253 30 518870mm coupling 11262 30 5188

817

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pColoplast Ltd o SenSura Mio Click 2-piece drainable high output bag with BodyFit technology and

mechanical couplingMini Neutral Grey with window, wide outlet

40mm coupling 18620 10 171650mm coupling 18621 10 171660mm coupling 18622 10 1716

XXXL Neutral Grey with window, wide outlet40mm coupling 18600 10 343150mm coupling 18601 10 343160mm coupling 18602 10 343170mm coupling 18603 10 3431

XXXL Transparent, wide outlet40mm coupling 18610 10 343150mm coupling 18611 10 343160mm coupling 18612 10 343170mm coupling 18613 10 3431

XXXL Neutral Grey with window, soft outlet50mm coupling 18630 10 343160mm coupling 18631 10 343170mm coupling 18632 10 3431

XXXL Transparent, soft outlet50mm coupling 18640 10 343160mm coupling 18641 10 343170mm coupling 18642 10 3431

o SenSura Mio Click 2-piece urostomy bags with mechanical couplingMidi Neutral Grey

50mm coupling 11496 30 8941Maxi Neutral Grey

40mm coupling 11491 30 894150mm coupling 11497 30 894160mm coupling 11499 30 8966

Maxi Transparent40mm coupling 11492 30 894150mm coupling 11498 30 894160mm coupling 11500 30 8966

z SenSura Mio Concave Click 2-piece baseplate with BodyFit Technology andmechanical coupling

40mm coupling, starter hole 10-35mm 18500 5 202450mm coupling, starter hole 10-45mm 18510 5 202450mm coupling, pre-cut 25mm 18511 5 202450mm coupling, pre-cut 30mm 18512 5 202460mm coupling, starter hole 10-55mm 18520 5 202460mm coupling, pre-cut 35mm 18522 5 202460mm coupling, pre-cut 40mm 18523 5 202470mm coupling, starter hole 10-65mm 18530 5 2024

z SenSura Mio Flex 2-piece baseplate with adhesive coupling35mm coupling, cut-to-fit 10-33mm 10551 10 401050mm coupling, cut-to-fit 10-48mm 10561 10 401050mm coupling, pre-cut 25mm 10562 10 401050mm coupling, pre-cut 30mm 10563 10 401050mm coupling, pre-cut 35mm 10564 10 401050mm coupling, pre-cut 40mm 10565 10 401070mm coupling, cut-to-fit 10-68mm 10571 10 4010

818

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Coloplast Ltd z SenSura Mio Flex 2-piece baseplate with integral light convexity, BodyFitTechnology and adhesive coupling

35mm coupling, starter hole 10-20mm 16471 5 204735mm coupling, pre-cut 18mm (cuts to20mm)

16472 5 2047

50mm coupling, starter hole 15-30mm 16481 5 204750mm coupling, starter hole 15-40mm 16483 5 204750mm coupling, pre-cut 21mm (cuts to30mm)

16484 5 2047

50mm coupling, pre-cut 25mm (cuts to30mm)

16485 5 2047

50mm coupling, pre-cut 28mm (cuts to30mm)

16486 5 2047

50mm coupling, pre-cut 31mm (cuts to40mm)

16487 5 2047

50mm coupling, pre-cut 35mm (cuts to40mm)

16488 5 2047

70mm coupling, starter hole 15-53mm 16491 5 2047

o SenSura Mio Flex 2-piece closed bags with full-circle filter and adhesive couplingMini Neutral Grey with window

50mm coupling 11911 30 5405Midi Neutral Grey with window

35mm coupling 11901 30 540550mm coupling 11912 30 540570mm coupling 11921 30 5405

Maxi Neutral Grey with window35mm coupling 11902 30 540550mm coupling 11913 30 540570mm coupling 11922 30 5405

Maxi Transparent50mm coupling 11914 30 540570mm coupling 11923 30 5405

o SenSura Mio Flex 2-piece drainable high output bag with BodyFit technology andadhesive coupling

XXL Neutral Grey with window, wide outlet50mm coupling 18650 10 302670mm coupling 18651 10 3026

XXL Transparent, wide outlet50mm coupling 18655 10 302670mm coupling 18656 10 3026

Manufacturer Appliance Order No. Quantity List Price p

819

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd o SenSura Mio Flex 2-piece drainable bags with full-circle filter and adhesivecoupling

Mini Neutral Grey with window50mm coupling 11961 30 5337

Midi Neutral Grey with window35mm coupling 11951 30 533750mm coupling 11962 30 533770mm coupling 11971 30 5337

Maxi Neutral Grey with window35mm coupling 11952 30 533750mm coupling 11963 30 533770mm coupling 11972 30 5337

Maxi Transparent35mm coupling 11953 30 533750mm coupling 11964 30 533770mm coupling 11973 30 5337

o SenSura Mio Flex 2-piece urostomy bags with adhesive couplingMidi Neutral Grey

50mm coupling 12296 30 11618Maxi Neutral Grey

35mm coupling 12291 30 1161850mm coupling 12297 30 11618

Maxi Transparent35mm coupling 12292 30 1161850mm coupling 12298 30 11618

z SenSura Mio Kids Flex 2-piece baseplate with BodyFit Technology27mm coupling, cut-to-fit 0-27mm 18735 5 200935mm coupling, cut-to-fit 0-35mm 18747 5 2009

o SenSura Mio Kids Flex 2-piece drainable bags with BodyFit technology, full-circlefilter and adhesive coupling

Mini Neutral Grey with window27mm coupling 18720 10 1779

Mini Transparent27mm coupling 18721 10 1779

Midi Neutral Grey with window27mm coupling 18722 10 177935mm coupling 18724 10 1779

Midi Transparent27mm coupling 18723 10 177935mm coupling 18725 10 1779

o SenSura Mio Kids Flex 2-piece urostomy bags with BodyFit technology andadhesive coupling

Neutral Grey27mm coupling 18730 10 387335mm coupling 18731 10 3873

820

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd Combihesive Naturaz Mouldable skin barrier with flexible hydrocolloid collar

mould-to-fit13-22mm S7550 10 369022-33mm S7551 10 369033-45mm S7552 10 369045-56mm S7553 10 3690

z Durahesive Convex flange with Flexible Collar. Mouldable Important: This product with integral convexity should only be used after priorassessment of suitability by an appropriate medical professional.

13-22mm (for 45mm pouches) S7304 10 345722-33mm (for 45mm pouches) S7305 10 345733-45mm (for 57mm pouches) S7306 10 3457

z Durahesive with Convex-IT FlangeImportant: This product with deep convexity should only be used after priorassessment of suitability by an appropriate medical professional.

13mm/45mm S7325 5 172216mm/45mm S7326 5 172219mm/45mm S7327 5 172222mm/45mm S7328 5 172225mm/45mm S7329 5 172228mm/45mm S7330 5 172232mm/45mm S7331 5 172235mm/45mm S7332 5 172238mm/57mm S7335 5 172241mm/57mm S7336 5 172245mm/57mm S7337 5 172250mm/57mm S7338 5 1722

821

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd z Flexible Flange with Micropore Surround (Oval)32mm S7244 5 169138mm S7245 5 169145mm S7246 5 169157mm S7247 5 169170mm S7248 5 1691

z Flexible Flange with Micropore Surround (Square)Wafer size 100mm x 100mm

32mm S7238 10 320938mm S7239 10 320945mm S7240 10 3209

Wafer size 127mm x 127mm57mm S7241 10 320970mm S7242 10 3209

z Stomahesive Flange32mm S7294 10 282738mm S7295 10 296145mm S7296 10 296157mm S7297 10 296170mm S7298 10 2961100mm S7299B 5 1481

z Stomahesive Flexible Flange32mm S7340 10 319938mm S7341 10 319945mm S7342 10 319957mm S7343 10 319970mm S7344 10 3199

o Flange Cap with FilterOpaque

45mm S7251 25 279757mm S7252 25 2797

o Closed pouch no filterMini size - Opaque

32mm S7290 20 224338mm S7291 20 224345mm S7292 20 224357mm S7293 20 2243

Convex inserts for use with above - see Pressure Plates

822

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

ConvaTec Ltd o Drainable PouchStandard Size - Opaque

32mm S7269 10 135538mm S7270 10 135545mm S7271 10 135557mm S7272 10 135570mm S7273 10 1355

Small Size - Opaque32mm S7279 10 135538mm S7280 10 135545mm S7281 10 135557mm S7282 10 135570mm S7283 10 1355

Standard Size - Clear38mm S7229 10 135545mm S7230 10 135557mm S7231 10 135570mm S7232 10 1355100mm S7233 10 2403

o Drainable Pouch with FilterSmall Size - Opaque for:-

45mm flange S7408 10 1329Standard Size - Opaque for:-

38mm flange S7401 10 127745mm flange S7402 10 127757mm flange S7403 10 127770mm flange S7404 10 1277

z Stomahesive Flange with Flexible Hydrocolloid Collar32mm S7201 10 353238mm S7202 10 353245mm S7203 10 353257mm S7204 10 353270mm S7205 10 3532

Manufacturer Appliance Order No. Quantity List Price p

823

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pConvaTec Ltd o Urostomy Pouch with Improved Accuseal Tap

Standard Size - Clear for:- 32mm flange S7380 10 296638mm flange S7381 10 296645mm flange S7382 10 296657mm flange S7383 10 296670mm flange S7384 10 2966

Standard Size - Opaque for:-32mm flange S7370 10 296638mm flange S7371 10 296645mm flange S7372 10 296657mm flange S7373 10 2966

Small Size - Opaque for:-32mm flange S7390 10 296638mm flange S7391 10 296645mm flange S7392 10 296657mm flange S7393 10 2966

o Urostomy Pouch with Standard TapStandard Size - Clear for:-

32mm flange S7350 10 289638mm flange S7351 10 289645mm flange S7352 10 289657mm flange S7353 10 289670mm flange S7354 10 3136

Small Size - Clear for:-32mm flange S7360 10 289638mm flange S7361 10 289645mm flange S7362 10 289657mm flange S7363 10 2896

o Combihesive Natura Drainable Pouches with InvisiClose Outlet, 1-sided FlockingStandard - Clear pre-cut

70mm S7445N 30 4758

o Combihesive Natura Drainable Pouches with InvisiClose Outlet, Integral Filter and2-sided Flocking

Standard - Opaquepre-cut70mm S7435F 30 4758

o Combihesive Natura High OutputDrainable Pouch with Filter for:-

45mm 420695 5 216857mm 420696 5 216870mm 420697 5 2168

Drainable Pouch with Filter Opaque for:-45mm S7467 5 216957mm S7468 5 216970mm S7469 5 2169

824

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

ConvaTec Ltd Combihesive Natura Little Onesz Stomahesive Wafer with Flexible Collar

32mm (75mm x 75mm) S7811 5 169245mm (100mm x 100mm) S7812 5 1692

o Closed Pouch32mm S7891 20 226945mm S7892 20 2269

o Drainable Pouch32mm S7880 10 133045mm S7881 10 1330

o Urostomy Pouch32mm S7850 10 2898

Consecura Low Profilez Locking flange with Micropore surround

35mm S601LP 5 156945mm S602LP 5 156957mm S603LP 5 156970mm S604LP 5 1569

z Stomahesive Locking Flange35mm S590LP 5 156945mm S591LP 5 156957mm S592LP 5 156970mm S593LP 5 1569

o Closed Pouch with Filter Standard Size Opaque for:

35mm flange S616LP 30 394545mm flange S617LP 30 394557mm flange S618LP 30 394570mm flange S619LP 30 3945

Clear for:-45mm flange S631LP 30 394557mm flange S632LP 30 394570mm flange S633LP 30 3945

o Drainable Pouch Standard SizeOpaque for:-

35mm flange S606LP 10 130745mm flange S607LP 10 130757mm flange S608LP 10 130770mm flange S609LP 10 1307

Clear for:-45mm flange S612LP 10 130757mm flange S613LP 10 1307100mm flange S615LP 10 2239

Manufacturer Appliance Order No. Quantity List Price p

825

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price pConvaTec Ltd o Urostomy Pouch with Accuseal Tap Standard Size -

Clear for:- 35mm flange S640LP 10 285045mm flange S641LP 10 285057mm flange S642LP 10 2850

Opaque for:-35mm flange S655LP 10 285045mm flange S656LP 10 285057mm flange S657LP 10 285070mm flange S658LP 10 2850

o Urostomy Pouch with Fold-up Tap Standard Size -Clear for:-

35mm flange S635LP 10 285045mm flange S636LP 10 285057mm flange S637LP 10 2850

Esteem Synergyz Durahesive Convex Skin Barrier with Flexible Collar Mouldable

13-22mm (for 13-35mm pouches) S1180 10 408422-33mm (for 13-48mm pouches) S1181 10 408433-45mm (for 13-61mm pouches) S1182 10 4084

z Stomahesive Mouldable Flat Skin Barrier with Flexible Collar 13-22mm (for 13-35mm pouches) 411657 10 389122-33mm (for 13-48mm pouches) 411658 10 389133-45mm (for 13-61mm pouches) 411659 10 3891

z Stomahesive Skin Barriercut-to-fit

13-35mm S1130 10 349513-48mm S1131 10 349513-61mm S1132 10 349513-89mm S1133 10 3495Paediatric - Extra Small0-23mm S1171 5 1894Paediatric4.8-31mm S1172 5 1894

z Stomahesive Skin Barrier with Flexible Collarcut-to-fit

13-35mm S1100 10 378713-48mm S1101 10 378713-61mm S1102 10 3787

pre-cut25mm S1144 10 378332mm S1146 10 378335mm S1147 10 3783

z Stomahesive Skin Barrier with Flexible Hydrocolloid Collarcut-to-fit

13-35mm S1190 10 408413-48mm S1191 10 408413-61mm S1192 10 4084

Paediatric4.8-31mm S1173 5 2014

826

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd o Closed Pouch with FilterTransparent - Paediatric for:-

4.8-31mm barriers S1272F 10 1802Opaque - Paediatric for:-

4.8-31mm barriers S1274F 10 1802

o Drainable Pouch with Filter (1-sided Comfort Backing)Transparent - Standard - Left (30.4cm) for:-

13-35mm barrier S1001F 10 1620

o Drainable Pouch with InvisiClose outlet and filterOpaque - Paediatric for:-

4.8-31mm barriers S1273F 10 1813Transparent - Paediatric for:-

4.8-31mm barriers S1275F 10 1813

o Drainable Pouch with InvisiClose outlet and no filterTransparent - Paediatric Extra Small for:-

0-23mm barrier S1271 10 1791

o Drainable Pouch no Filter (1-sided Comfort Backing)Transparent - Extra Large - Straight (35.2cm) for:-

13-89mm barrier S1009N 10 3240

o Urostomy pouch with Accuseal Tap (includes 2 drain tube adapters per pack) and1-sided comfort backing (For use with Esteem Synergy Durahesive Convex skinbarrier)

Standard - Opaque for:-13-35mm barrier S1080 10 387313-48mm barrier S1081 10 387313-61mm barrier S1082 10 3873

Standard - Transparent for:-13-35mm barrier S1085 10 387313-48mm barrier S1086 10 387313-61mm barrier S1087 10 3873

Small - Transparent for:-13-35mm barrier S1075 10 387313-48mm barrier S1076 10 3873

827

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd o Esteem Synergy+Closed Pouch with Filter

Small - Opaque35mm 416777 30 519148mm 416781 30 5191

Standard - Opaque35mm 416775 30 519148mm 416779 30 519161mm 416783 30 5191

Standard - Clear35mm 416774 30 519148mm 416778 30 519161mm 416782 30 5191

o Esteem Synergy+Drainable Pouch with InvisiClose outlet and filter

Standard - Opaque35mm 416796 10 173048mm 416799 10 173061mm 416902 10 1730

Standard - Clear35mm 416795 10 173048mm 416798 10 173061mm 416901 10 1730

Drainable Pouch with Invisiclose outlet and no filterStandard - Clear

48mm 416900 10 164461mm 416903 10 1644

z Natura Accordion Convex Flange, Durahesive13-22mm cut-to-fit (for 45mm pouches)

421633 5 1713

13-35mm cut-to-fit (for 57mm pouches)

421635 5 1713

13-48mm cut-to-fit (for 70mm pouches)

421637 5 1713

z Natura Accordion Flange, Durahesive13-21mm cut-to-fit (for 45mm pouches)

421453 5 1473

13-22mm (for 57mm pouches) 421036 5 155013-33mm cut-to-fit (for 57mm pouches)

421457 5 1473

13-45mm cut-to-fit (for 70mm pouches)

421461 5 1473

22-33mm (for 57mm pouches) 421037 5 155033-45mm (for 70mm pouches) 421038 5 1550

828

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd o Natura+ Closed Pouch with filterStandard Size - Opaque

32mm 416400 30 531738mm 416403 30 531745mm 416406 30 531757mm 416409 30 531770mm 416412 30 5317

o Natura+Closed Pouch with filter and windowSmall Size - Opaque

32mm 421794 30 527038mm 421795 30 527045mm 421796 30 527057mm 421797 30 5270

Standard Size - Opaque32mm 421676 30 527038mm 421678 30 527045mm 421680 30 527057mm 421682 30 527070mm 421798 30 5270

Standard Size - Clear45mm 421803 30 527057mm 421804 30 527070mm 421805 30 5270

Large Size - Opaque38mm 421799 30 527045mm 421800 30 527057mm 421801 30 527070mm 421802 30 5270

o Natura+Drainable Pouch with InvisiClose outletStandard Size - Clear

45mm 416418 10 166857mm 416421 10 1668100mm 416472 10 1668

Standard Size - Clear with filter38mm 416414 10 172445mm 416416 10 172457mm 416419 10 172470mm 416422 10 1724

Standard Size - Opaque with filter38mm 416415 10 175645mm 416417 10 173657mm 416420 10 175670mm 416423 10 1756

829

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

ConvaTec Ltd o Natura+Drainable Pouch with window and InvisiClose outletStandard Size - Opaque with filter

38mm 421746 10 173445mm 421747 10 173457mm 421748 10 173470mm 421749 10 1734

o Natura+Urostomy Pouch with soft tapStandardClear

32mm 413435 10 2748K38mm 413436 10 2748K45mm 413437 10 2748K57mm 413438 10 2748K70mm 413439 10 2748K

SmallClear

32mm 421074 10 2748K38mm 421075 10 2748K45mm 421076 10 2748K

830

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pDansac Ltd o Dansac Nova 2 Easifold Large Two-piece large drainable pouch with filter and

EasiFold closureOpaque

55mm flange 1221-55 10 154270mm flange 1221-70 10 1542

Clear 55mm flange 1222-55 10 154270mm flange 1222-70 10 1542

o Dansac Nova 2 High Output Drainable pouch with twin filter and soft covers, plusa tap closure system

Opaque55mm flange 1207-55 10 287670mm flange 1207-70 10 2876

Clear 55mm flange 1208-55 10 287670mm flange 1208-70 10 2876

o Dansac Nova 2 Mini Closed pouchOpaque

36mm Flange 1203-36 30 355343mm Flange 1203-43 30 355355mm Flange 1203-55 30 3553

o Dansac Nova 2 Mini EasiFold Drainable pouchOpaque

36mm Flange 1219-36 10 157243mm Flange 1219-43 10 157255mm Flange 1219-55 10 1572

Clear36mm Flange 1220-36 10 157243mm Flange 1220-43 10 157255mm Flange 1220-55 10 1572

o Dansac Nova 2 Post-Op Drainable pouchClear

102mm flange 1230-102 10 3180

z Dansac Nova 2 Post-Op Flange102mm Flange

cut-to-fit 13-90mm 11102-13 5 1764

o Dansac NovaLife 2 Closed pouchMidiClear

36mm 1302-36 30 537543mm 1302-43 30 537555mm 1302-55 30 537570mm 1302-70 30 5375

Opaque36mm 1301-36 30 537543mm 1301-43 30 537555mm 1301-55 30 537570mm 1301-70 30 5375

MiniOpaque

36mm 1303-36 30 537543mm 1303-43 30 537555mm 1303-55 30 5375

831

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Dansac Ltd z Dansac NovaLife 2 Flange36mm ring

cut-to-fit10-28mm 1736-10 5 207120-28mm 1736-20 5 207125-28mm 1736-25 5 2071

43mm ringcut-to-fit10-35mm 1743-10 5 207125-35mm 1743-25 5 207130-35mm 1743-30 5 2071

55mm ringcut-to-fit10-47mm 1755-10 5 207135-47mm 1755-35 5 207140-47mm 1755-40 5 2071

70mm ringcut-to-fit10-62mm 1770-10 5 207145-62mm 1770-45 5 207150-62mm 1770-50 5 2071

o Dansac NovaLife 2 Open pouchMidiClear

36mm 1316-36 30 5446 K43mm 1316-43 30 5446 K55mm 1316-55 30 5446 K70mm 1316-70 30 5446 K

Opaque36mm 1315-36 30 5446 K43mm 1315-43 30 5446 K55mm 1315-55 30 5446 K70mm 1315-70 30 5446 K

MiniClear

36mm 1320-36 30 5446 K43mm 1320-43 30 5446 K55mm 1320-55 30 5446 K

Opaque36mm 1319-36 30 5446 K43mm 1319-43 30 5446 K55mm 1319-55 30 5446 K

MaxiClear

43mm 1322-43 30 5446 K55mm 1322-55 30 5446 K70mm 1322-70 30 5446 K

Opaque43mm 1321-43 30 5446 K55mm 1321-55 30 5446 K70mm 1321-70 30 5446 K

Manufacturer Appliance Order No. Quantity List Price p

832

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd z Dansac NovaLife 2 Convex Flange36mm ringcut-to-fit

10-23mm 1936-10 5 2023pre-cut

20mm 1936-20 5 202323mm 1936-23 5 2023

43mm ringcut-to-fit

10-30mm 1943-10 5 2023pre-cut

25mm 1943-25 5 202330mm 1943-30 5 2023

55mm ringcut-to-fit

10-42mm 1955-10 5 202335-42mm 1955-35 5 2023

pre-cut40mm 1955-40 5 2023

70mm ringcut-to-fit10-59mm 1970-10 5 202340-59mm 1970-40 5 202345-59mm 1970-45 5 2023

z Dansac NovaLife TRE 2 Convex Wafer36mm ring

cut-to-fit15-23mm 3236-15 5 2290

43mm ringcut-to-fit15-30mm 3243-15 5 2290

55mm ringcut-to-fit15-42mm 3255-15 5 2290

70mm ringcut-to-fit15-59mm 3270-15 5 2290

833

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd z Dansac NovaLife TRE 2 Wafer36mm ring

cut-to-fit15-28mm 3136-15 5 2190

43mm ringcut-to-fit15-35mm 3143-15 5 2190

55mm ringcut-to-fit15-47mm 3155-15 5 2190

70mm ringcut-to-fit15-62mm 3170-15 5 2190

o Nova 2 Closed Pouches including water repellent soft fabric cover and twin filtertechnology

Opaque36mm Flange 1201-36 30 410043mm Flange 1201-43 30 410055mm Flange 1201-55 30 410070mm Flange 1201-70 30 4100

Clear36mm Flange 1202-36 30 410043mm Flange 1202-43 30 410055mm Flange 1202-55 30 410070mm Flange 1202-70 30 4100

834

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd zNova 2 Convex Flange36mm Flange

cut-to-fit 15-23mm 1536-15 5 1656pre-cut 20mm 1536-20 5 1656pre-cut 23mm 1536-23 5 1656

43mm Flangecut-to-fit 15-30mm 1543-15 5 1656pre-cut 25mm 1543-25 5 1656pre-cut 30mm 1543-30 5 1656

55mm Flangecut-to-fit 15-42mm 1555-15 5 1656pre-cut 35mm 1555-35 5 1656pre-cut 40mm 1555-40 5 1656

o Nova 2 Drainable Pouches including filtration system and water repellent softfabric covers

Opaque43mm Flange 1213-43 10 136355mm Flange 1213-55 10 1363

o Nova 2 Easifold Drainable PouchesOpaque Symmetrical

36mm Flange 1215-36 10 154243mm Flange 1215-43 10 154255mm Flange 1215-55 10 154270mm Flange 1215-70 10 1542

Clear Symmetrical 36mm Flange 1216-36 10 154243mm Flange 1216-43 10 154255mm Flange 1216-55 10 154270mm Flange 1216-70 10 1542

zNova 2 Flange36mm Flange

starter hole 12-28mm 1136-12 5 1596starter hole 15-28mm 1136-15 5 1625pre-cut 20mm 1136-20 5 1625pre-cut 25mm 1136-25 5 1625

43mm Flangestarter hole 15-35mm 1143-15 5 1625pre-cut 25mm 1143-25 5 1625pre-cut 30mm 1143-30 5 1625

55mm Flangestarter hole 15-47mm 1155-15 5 1625pre-cut 35mm 1155-35 5 1625pre-cut 40mm 1155-40 5 1625

70mm Flangestarter hole 15-60mm 1170-15 5 1625pre-cut 45mm 1170-45 5 1625pre-cut 50mm 1170-50 5 1625

835

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pDansac Ltd zNova 2 Soft Convex Flange

43mm Flange (5mm depth)pre-cut 18mm 1443-18 5 1656pre-cut 21mm 1443-21 5 1656pre-cut 25mm 1443-25 5 1656pre-cut 28mm 1443-28 5 1656

55mm Flange (5mm depth)pre-cut 32mm 1455-32 5 1656pre-cut 35mm 1455-35 5 1656pre-cut 38mm 1455-38 5 1656

o Nova 2 Sym Drainable Pouches including filtration system and water repellentsoft fabric covers

Opaque43mm Flange 1211-43 10 136355mm Flange 1211-55 10 1363

o Nova 2 Urostomy pouchOpaque

36mm Flange 1217-36 10 291243mm Flange 1217-43 10 291255mm Flange 1217-55 10 2912

Clear36mm Flange 1218-36 10 291243mm Flange 1218-43 10 291255mm Flange 1218-55 10 2912

zNova 2 X343mm Flange (3mm depth)

cut-to-fit (15-30mm) 1343-15 5 1656pre-cut 25mm 1343-25 5 1656

55mm Flange (3mm depth)cut-to-fit (15-42mm) 1355-15 5 1656pre-cut 32mm 1355-32 5 1656pre-cut 35mm 1355-35 5 1656

Hollister Ltd Conform 2z CeraPlus Skin Barrier - Floating Flange

Flat45mm flange, cut-to-fit 13-30mm 14200 5 223255mm flange, cut-to-fit 13-40mm 15200 5 223270mm flange, cut-to-fit 13-55mm 17200 5 2232

Convex45mm flange, cut-to-fit 13-25mm 14100 5 227255mm flange, cut-to-fit 13-38mm 15100 5 227270mm flange, cut-to-fit 13-51mm 17100 5 2272

z CeraPlus Skin Barrier with Adhesive Bordercut-to-fit

45mm flange, 13-30mm 14500 5 224855mm flange, 13-40mm 15500 5 224870mm flange, 13-55mm 17500 5 2248

z CeraPlus Skin Barrier with Adhesive Border and Integral Convexity45mm flange, cut-to-fit 13-25mm 14600 5 228855mm flange, cut-to-fit 13-38mm 15600 5 228870mm flange, cut-to-fit 13-51mm 17600 5 228845mm flange, pre-cut 20mm 14620 5 228845mm flange, pre-cut 25mm 14625 5 228855mm flange, pre-cut 29mm 15629 5 228855mm flange, pre-cut 32mm 15632 5 2288

836

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd o Closed Pouch

With beige comfort backing45mm 24400 30 387355mm 25400 30 387370mm 27400 30 3873

With QuietWear Pouch Film and FilterMini

45mm 44410 30 523555mm 45410 30 5235

Midi45mm 44400 30 532755mm 45400 30 532770mm 47400 30 5327

Maxi45mm 44420 30 532755mm 45420 30 532770mm 47420 30 5327

Transparent front, beige comfort backing on body worn side45mm 24500 30 387355mm 25500 30 387370mm 27500 30 3873

Mini - Beige45mm 24410 30 387355mm 25410 30 3873

Maxi - Transparent45mm 24520 30 439155mm 25520 30 439170mm 27520 30 4391

Maxi Closed PouchBeige with comfort backing on both sides

45mm 24420 30 439155mm 25420 30 439170mm 27420 30 4391

z Convex Barriercut-to-fit

45mm flange, 13-25mm 34600 5 176955mm flange, 13-38mm 35600 5 176970mm flange, 13-51mm 37600 5 1769

pre-cut45mm flange, 20mm 34620 5 176945mm flange, 22mm 34622 5 176945mm flange, 25mm 34625 5 176955mm flange, 29mm 35629 5 176955mm flange, 32mm 35632 5 1769

z Convex-Floating Flange45mm flange 13-25mm stoma 24300 5 171545mm flange 20mm stoma 24320 5 171545mm flange 22mm stoma 24322 5 171545mm flange 25mm stoma 24325 5 171555mm flange 13-38mm stoma 25300 5 171555mm flange 29mm stoma 25329 5 171555mm flange 32mm stoma 25332 5 171555mm flange 35mm stoma 25335 5 171570mm flange 15-51mm stoma 27300 5 1715

837

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price pHollister Ltd o Drainable Pouch

Transparent70mm 27600 10 1304

o Drainable Pouch with Filter - anatomical shapeBeige

45mm 24720 30 405955mm 25720 30 4059

Transparent35mm 23820 30 4059

z Flex Wear Floating Flange Flat Barrier

cut-to-fit35mm flange, 13-20mm 33200 5 157145mm flange, 13-30mm 34200 5 1571

pre-cut45mm flange, 25mm 34225 5 157145mm flange, 30mm 34230 5 1571

Flex Barriercut-to-fit

55mm flange 13-40mm 35200 5 1571

z Flex Wear Floating Flange - Adhesive BorderFlat Barrier

cut-to-fit45mm flange, 13-30mm 34500 5 168255mm flange, 13-40mm 35500 5 168270mm flange, 13-55mm 37500 5 1682

pre-cut45mm flange, 20mm 34520 5 168245mm flange, 25mm 34525 5 168245mm flange, 30mm 34530 5 168255mm flange, 35mm 35535 5 168255mm flange, 40mm 35540 5 1682

z Floating Flange35mm flange, 13-20mm stoma 23200 5 159845mm flange, 13-30mm stoma 24200 5 159855mm flange, 13-40mm stoma 25200 5 159870mm flange, 13-55mm stoma 27200 5 1598

z Floating Flange - Adhesive Bordercut-to-fit

35mm flange 13-20mm stoma 33500 5 1682102mm flange 13-89mm stoma 38500 5 1682

o Urostomy PouchesBeige

35mm 23730 10 282545mm 24730 10 287455mm 25730 10 2874

Transparent45mm 24830 10 287455mm 25830 10 287470mm 27830 10 2874

838

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd o Urostomy Pouch with soft tapBeige

35mm 23790 10 297245mm 24790 10 297255mm 25790 10 2972

Transparent35mm 23890 10 297245mm 24890 10 297255mm 25890 10 297270mm 27890 10 2972

o Conform 2 with Lock'n'Roll ClosureDrainable Pouch, anatomical shape with integral filter and Lock and Roll closure system

Midi - Beige with comfort backing on both sides45mm 24750 30 467355mm 25750 30 4673

Midi - Transparent with comfort backing on body side only45mm 24850 30 467355mm 25850 30 4673

Drainable Pouch, symmetrical shape with integral filter and Lock and Roll closuresystem

Mini - Beige with comfort backing on both sides45mm 24743 30 407055mm 25743 30 4070

Maxi - Beige with comfort backing on both sides45mm 24760 30 475855mm 25760 30 475870mm 27760 30 4758

Maxi - Transparent with comfort backing on body side only45mm 24860 30 475855mm 25860 30 475870mm 27860 30 4758

z Pouchkins Two piece flange45mm ring

cut-to-fit 0-32mm 3761 5 1899

o Pouchkins drainable pouch with Lock ‘n’ Roll closureClear

45mm ring 3799 10 1606

N Tandem Range - Impression CPL Poucheso Drainable Pouch

Transparent - with comfort backing on body-worn side only102mm 3806 10 2554

Nto be deleted 1 February 2020

839

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd

z UltraMax Gemini FlangeFlat - starter hole

12mm 20000 5 1800Flat - pre-cut

12mm 20012 5 180016mm 20016 5 180019mm 20019 5 180022mm 20022 5 180025mm 20025 5 180029mm 20029 5 180032mm 20032 5 180034mm 20034 5 180038mm 20038 5 180044mm 20044 5 180050mm 20050 5 180055mm 20055 5 1800

Shallow Convex - starter hole12mm 21000 5 1800

Shallow Convex - pre-cut12mm 21012 5 180016mm 21016 5 180019mm 21019 5 180022mm 21022 5 180025mm 21025 5 180029mm 21029 5 180032mm 21032 5 180034mm 21034 5 180038mm 21038 5 1800

o UltraMax Gemini PouchesClosed Pouch with filter and comfort cover on back

Opaque 25100 30 4612Transparent 25150 30 4612

Drainable Pouch with filter and comfort cover on back with Kwick-Klose outletOpaque 25250 30 4855Transparent 25260 30 4855

Urostomy Pouch with comfort cover on backOpaque 25300 10 3540Transparent 25350 10 3540

Oakmed Ltd Option Connect 2z Option Connect 2 Skin Wafer

cut-to-fit15mm-45mm JH0015 10 3623

pre-cut20mm JH0020 10 362325mm JH0025 10 362330mm JH0030 10 362335mm JH0035 10 362340mm JH0040 10 362345mm JH0045 10 3623

840

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pOakmed Ltd o Colostomy with Filter and Soft Covering to both sides

To fit up to 45mm Stoma JH600 30 4519o Colostomy with Filter and Soft Covering to both sides includes a window

To fit up to 45mm Stoma JH610 30 4519o Colostomy with Filter and Soft Covering to one side Clear

To fit up to 45mm Stoma JH620 30 4519

o Colostomy Mini with Filter and Soft Covering to both sidesTo fit up to 45mm Stoma JH500 30 4384

o Colostomy Mini with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma JH510 30 4384

o Colostomy Plus with Filter and Soft Covering to both sidesTo fit up to 45mm Stoma JH700 30 4667

o Colostomy Plus with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma JH710 30 4667

o Colostomy Plus with Filter and Soft Covering to one sideClear To fit up to 45mm Stoma JH720 30 4667

o Ileostomy with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma JH310 30 5018

o Ileostomy with Filter and Soft Covering to one sideClear To fit up to 45mm Stoma JH320 30 5018

o Ileostomy Midi with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma JH210 30 4982

o Ileostomy Mini with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma JH110 30 4678

o Stoma Cap Soft Cover with Filter JH900 30 4519

z Option Connect 2 Skin Wafer JH0090 Oval 10 10167cut-to-fit 20mm-90mm

z Option Connect 2 Alginate Skin Wafercut-to-fit

15mm - 45mm AJH0015 10 4028pre-cut

20mm AJH0020 10 402825mm AJH0025 10 402830mm AJH0030 10 402835mm AJH0035 10 402840mm AJH0040 10 402845mm AJH0045 10 4028

841

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Oakmed Ltd z Option Connect 2 Bi-Form Skin Wafersstarter hole

15mm BFJH0015 10 402820mm BFJH0020 10 402825mm BFJH0025 10 402830mm BFJH0030 10 402835mm BFJH0035 10 402840mm BFJH0040 10 402845mm BFJH0045 10 4028

o Option Connect 2 Ileo with soft touch closureTo fit upto 45mm stoma VJH310 30 5271Ileostomy Midi with Filter and Soft Covering to both sides includes a windowTo fit up to 45mm Stoma VJH210 30 5134

z Option Connect 2 Microskin Skin Wafercut-to-fit

15mm - 45mm MJH0015 10 4028pre-cut

20mm MJH0020 10 402825mm MJH0025 10 402830mm MJH0030 10 402835mm MJH0035 10 402840mm MJH0040 10 402845mm MJH0045 10 4028

o Option Connect 2 PLIleostomyOpaque 20mm-90mm JHPL90 20 10985

Option Rangez Option Flange

50mm F500K 5 153870mm F700K 5 1538

o Colostomy Plus with Filter and Soft Covering to one side Clear for:-70mm flange CD70K 30 3884

o Colostomy Plus with Filter and Soft Covering to both sides Opaque for:-70mm flange CC70K 30 3930

o Colostomy Plus with Soft Covering to both sides Opaque for:-50mm flange CH50K 30 3862

o Ileostomy Midi with Filter and Soft Covering to one side Clear for:-50mm flange IG50K 30 388470mm flange IG70K 30 3884

o Ileostomy with filter and Soft Covering to one side Clear for:-50mm flange IB50K 30 388470mm flange IB70K 30 3884

o Ileostomy Midi with Filter and Soft Covering to both sides Opaque for:-50mm flange ID50K 30 390870mm flange ID70K 30 3908

o Ileostomy with Filter and Soft Covering to both sides Opaque for:-50mm flange IA50K 30 390870mm flange IA70K 30 3908

Manufacturer Appliance Order No. Quantity List Price p

842

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pPeak Medical Ltd o Combimate 2-piece drainable pouch with high capacity bar filter and SoftSafe

closure with integral finger pocketBeigeSmall

45mm flange ISBV245 30 494757mm flange ISBV257 30 4947

Medium38mm flange IMBV238 30 494745mm flange IMBV245 30 494757mm flange IMBV257 30 4947

Large38mm flange ILBV238 30 494745mm flange ILBV245 30 494757mm flange ILBV257 30 494770mm flange ILBV270 30 4947

TransparentLarge

45mm flange ILTV245 30 494757mm flange ILTV257 30 494770mm flange ILTV270 30 4947

o Combimate Closed pouch, Beige non-woven both sides, high capacity filterSmall

45mm flange CSB245 30 4426Medium

38mm flange CMB238 30 442645mm flange CMB245 30 442657mm flange CMB257 30 4426

Large38mm flange CLB238 30 442645mm flange CLB245 30 442657mm flange CLB257 30 442670mm flange CLB270 30 4426

o Combimate Closed pouch, Beige non-woven backing, semi-transparent, with needle-pin overlap, high capacity filter

Large45mm flange CLT245 30 442657mm flange CLT257 30 442670mm flange CLT270 30 4426

o Combimate Anatomical Closed pouch, Beige non-woven both sides, high capacity filter

Medium/Large38mm flange CMLB238 30 442645mm flange CMLB245 30 442657mm flange CMLB257 30 442670mm flange CMLB270 30 4426

z Combimate soft convex flange57mm flange

starter hole 13mm FSC5713-36 5 2272pre-cut 16mm FSC5716 5 2272pre-cut 19mm FSC5719 5 2272pre-cut 22mm FSC5722 5 2272pre-cut 25mm FSC5725 5 2272pre-cut 30mm FSC5730 5 2272pre-cut 35mm FSC5735 5 2272pre-cut 41mm FSC5741 5 2272

843

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pPeak Medical Ltd o Combimate Urostomy pouch, with non-return valve and soft bottom outlet tap

TransparentMedium

38mm flange UMT238B 20 568945mm flange UMT245B 20 568957mm flange UMT257B 20 5689

Large38mm flange ULT238B 20 568945mm flange ULT245B 20 568957mm flange ULT257B 20 568970mm flange ULT270B 20 5689

o Combimate Colocap 2-piece stoma cap with high capacity filter45mm flange CCB245 30 370457mm flange CCB257 30 3704

z Combimate SuperFlex 2-piece Flange38mm flange

starter hole 13mm FFB3813 5 1992pre-cut 22mm FFB3822 5 1992pre-cut 25mm FFB3825 5 1992pre-cut 28mm FFB3828 5 1992

45mm flangestarter hole 13mm FFB4513 5 1992pre-cut 22mm FFB4522 5 1992pre-cut 25mm FFB4525 5 1992pre-cut 28mm FFB4528 5 1992pre-cut 32mm FFB4532 5 1992pre-cut 35mm FFB4535 5 1992

57mm flangestarter hole 13mm FFB5713 5 1992pre-cut 32mm FFB5732 5 1992pre-cut 35mm FFB5735 5 1992pre-cut 38mm FFB5738 5 1992

70mm flangestarter hole 13mm FFB7013 5 1992

z Combimate Supersoft flange38mm flange

13mm starter hole FSS3813 5 1992pre-cut 22mm FSS3822 5 1992pre-cut 25mm FSS3825 5 1992pre-cut 28mm FSS3828 5 1992

45mm flange13mm starter hole FSS4513 5 1992pre-cut 22mm FSS4522 5 1992pre-cut 25mm FSS4525 5 1992pre-cut 28mm FSS4528 5 1992pre-cut 32mm FSS4532 5 1992pre-cut 35mm FSS4535 5 1992

57mm flange13mm starter hole FSS5713 5 1992pre-cut 32mm FSS5732 5 1992pre-cut 35mm FSS5735 5 1992pre-cut 38mm FSS5738 5 1992

70mm flange13mm starter hole FSS7013 5 1992

844

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd z Combimate Supersoft flange with shallow convexity 38mm flange

13mm starter hole FC3813 5 2290pre-cut 16mm FC3816 5 2290pre-cut 19mm FC3819 5 2290

45mm flange13mm starter hole FC4513 5 2290pre-cut 22mm FC4522 5 2290pre-cut 25mm FC4525 5 2290pre-cut 28mm FC4528 5 2290

57mm flange13mm starter hole FC5713 5 2290pre-cut 32mm FC5732 5 2290pre-cut 35mm FC5735 5 2290pre-cut 38mm FC5738 5 2290pre-cut 41mm FC5741 5 2290

70mm flange13mm starter hole FC7013 5 2290

z Combimate Supersoft flange with deep convexity 45mm flange

13mm starter hole FXC4513 5 2290pre-cut 19mm FXC4519 5 2290pre-cut 22mm FXC4522 5 2290

57mm flange13mm starter hole FXC5713 5 2290pre-cut 25mm FXC5725 5 2290pre-cut 28mm FXC5728 5 2290pre-cut 32mm FXC5732 5 2290

70mm flange13mm starter hole FXC7013 5 2290pre-cut 32mm FXC7032 5 2290pre-cut 35mm FXC7035 5 2290pre-cut 39mm FXC7039 5 2290pre-cut 44mm FXC7044 5 2290

o Fleximate 2-piece closed pouch, Beige non-woven both sides, high capacity barfilter

Large40mm flange CLB240 30 534050mm flange CLB250 30 534060mm flange CLB260 30 5340

o Fleximate 2-piece drainable pouch, Beige with high capacity bar filterLarge

40mm flange ILBV240 30 534050mm flange ILBV250 30 534060mm flange ILBV260 30 5340

845

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Peak Medical Ltd o Fleximate 2-piece urostomy pouch, with non-return valve and soft bottom outlettap

TransparentLarge

40mm flange ULT240B 20 768050mm flange ULT250B 20 768060mm flange ULT260B 20 7680

o Fleximate Anatomical closed pouch, Beige non-woven both sides, high capacitybar filter

Medium/Large40mm flange CMLB240 30 534050mm flange CMLB250 30 534060mm flange CMLB260 30 5340

o Fleximate closed pouch, Beige non-woven both sides, high capacity bar filterMedium

40mm flange CMB240 30 534050mm flange CMB250 30 534060mm flange CMB260 30 5340

z Fleximate soft convex flange60mm flange

13mm starter hole FSC6013-36 5 2272pre-cut 16mm FSC6016 5 2272pre-cut 19mm FSC6019 5 2272pre-cut 22mm FSC6022 5 2272pre-cut 25mm FSC6025 5 2272pre-cut 30mm FSC6030 5 2272pre-cut 35mm FSC6035 5 2272pre-cut 41mm FSC6041 5 2272

z Fleximate SuperFlex 2-piece flange40mm flange

13mm starter hole FFB 4013 5 1992pre-cut 22mm FFB 4022 5 1992pre-cut 25mm FFB 4025 5 1992pre-cut 28mm FFB 4028 5 1992

50mm flange13mm starter hole FFB 5013 5 1992pre-cut 25mm FFB 5025 5 1992pre-cut 28mm FFB 5028 5 1992pre-cut 32mm FFB 5032 5 1992pre-cut 35mm FFB 5035 5 1992pre-cut 38mm FFB 5038 5 1992

60mm flange13mm starter hole FFB 6013 5 1992pre-cut 32mm FFB 6032 5 1992pre-cut 35mm FFB 6035 5 1992pre-cut 38mm FFB 6038 5 1992pre-cut 41mm FFB 6041 5 1992pre-cut 44mm FFB 6044 5 1992pre-cut 47mm FFB 6047 5 1992

Manufacturer Appliance Order No. Quantity List Price p

846

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Peak Medical Ltd z Fleximate Supersoft 2-piece flange40mm flange

13mm starter hole FSS 4013 5 1992pre-cut 22mm FSS 4022 5 1992pre-cut 25mm FSS 4025 5 1992pre-cut 28mm FSS 4028 5 1992

50mm flange13mm starter hole FSS 5013 5 1992pre-cut 25mm FSS 5025 5 1992pre-cut 28mm FSS 5028 5 1992pre-cut 32mm FSS 5032 5 1992pre-cut 35mm FSS 5035 5 1992pre-cut 38mm FSS 5038 5 1992

60mm flange13mm starter hole FSS 6013 5 1992pre-cut 32mm FSS 6032 5 1992pre-cut 35mm FSS 6035 5 1992pre-cut 38mm FSS 6038 5 1992pre-cut 41mm FSS 6041 5 1992pre-cut 44mm FSS 6044 5 1992pre-cut 47mm FSS 6047 5 1992

z Fleximate Supersoft flange with shallow convexity40mm flange

13mm starter hole FC 4013 5 2290pre-cut 16mm FC 4016 5 2290pre-cut 19mm FC 4019 5 2290

50mm flange13mm starter hole FC 5013 5 2290pre-cut 22mm FC 5022 5 2290pre-cut 25mm FC 5025 5 2290pre-cut 28mm FC 5028 5 2290

60mm flange13mm starter hole FC 6013 5 2290pre-cut 32mm FC 6032 5 2290pre-cut 35mm FC 6035 5 2290pre-cut 38mm FC 6038 5 2290pre-cut 41mm FC 6041 5 2290

z Fleximate Supersoft flange with deep convexity50mm flange

13mm starter hole FXC 5013 5 2290pre-cut 19mm FXC 5019 5 2290pre-cut 22mm FXC 5022 5 2290

60mm flange13mm starter hole FXC 6013 5 2290pre-cut 25mm FXC 6025 5 2290pre-cut 28mm FXC 6028 5 2290pre-cut 32mm FXC 6032 5 2290

Manufacturer Appliance Order No. Quantity List Price p

847

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

o Pelican Platinum 2 piece closed pouchStandard

80mm 807415 30 5125Maxi

80mm 807615 30 5125o Pelican Platinum 2 piece drainable pouch

Standard80mm 818415 30 5325

Maxi80mm 818615 30 5325

o Pelican Platinum 2 piece closed pouch with fabric on both sides, split fabric backing for viewing/positioning and hydrophobic filterMini

60mm 607215 30 5125Standard

60mm 607415 30 5125Maxi

60mm 607615 30 5125o Pelican Platinum 2 piece drainable pouch with fabric on both sides, split fabric

backing for viewing and hydrophobic filterMini

60mm 618215 30 5325Standard

60mm 618415 30 5325Maxi

60mm 618615 30 5325z Pelican Platinum 2 piece convex baseplate

60mm ringcut-to-fit

15-40mm 600015C 5 1995pre-cut

20mm 600020C 5 199525mm 600025C 5 199530mm 600030C 5 199535mm 600035C 5 199540mm 600040C 5 1995

80mm ringcut-to-fit

15-60mm 800015C 5 1995z Pelican Platinum 2 piece flat baseplate

60mm ringcut-to-fit

15-37.5mm 600015 5 1950pre-cut

20mm 600020 5 195022.5mm 600022 5 195025mm 600025 5 195027.5mm 600027 5 195030mm 600030 5 195032.5mm 600032 5 195035mm 600035 5 195037.5mm 600037 5 1950

80mm ringcut-to-fit

15-50mm 800015 5 1950pre-cut

40mm 800040 5 195045mm 800045 5 195050mm 800050 5 1950

848

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare o Black Rubber Bag (for use with flange)

Screw outletLarge 362129 1 3841Special 362099 1 3989

Spout outletLarge 372129 1 2684Small 372229 1 2684

o White Rubber Bag (for use with flange)Screw outlet

Small 461229 1 1278

Harmony Duoz Standard Wafers

13-32mm HD1332 10 374513-50mm HD1350 10 374513-70mm HD1370 10 3745

z Flexible Wafers with hydrocolloid surround13-32mm HDF1332 10 396213-50mm HDF1350 10 396213-70mm HDF1370 10 3962

o Closed PouchesOpaque with comfort backing on both sides, protected filter and anatomicalshapeMini

13-32mm HDCM1332 30 474913-50mm HDCM1350 30 474913-70mm HDCM1370 30 4749

Standard13-32mm HDC1332 30 507913-50mm HDC1350 30 507913-70mm HDC1370 30 5079

Large13-32mm HDCL1332 30 507913-50mm HDCL1350 30 507913-70mm HDCL1370 30 5079

o Drainable PouchesTransparent with comfort backing on bodyside, anatomical shape and an easyclean soft closure Large

13-50mm HDDLT1350 30 543313-70mm HDDLT1370 30 5433

o Comfort backing on both sides with overlap, protected filter, anatomical shapeand an easy clean soft closure Small

13-32mm HDDS1332 30 543313-50mm HDDS1350 30 543313-70mm HDDS1370 30 5433

Standard13-32mm HDD1332 30 543313-50mm HDD1350 30 543313-70mm HDD1370 30 5433

Large13-32mm HDDL1332 30 543313-50mm HDDL1350 30 543313-70mm HDDL1370 30 5433

849

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Two Piece Ostomy Systems

Salts Healthcare z Standard wafer with Flexifit and Aloe Vera extracts13-32mm FHD1332 10 371113-50mm FHD1350 10 371113-70mm FHD1370 10 3711

z Flexifit wafer with hydrocolloid surround and Aloe Vera extracts13-32mm FHDF1332 10 404113-50mm FHDF1350 10 404113-70mm FHDF1370 10 4041

Harmony Duo Convexz Standard convex wafer with Flexifit and Aloe Vera extracts

13-25mm starter hole XFHD1325 5 198513-38mm starter hole XFHD1338 5 198513-52mm starter hole XFHD1352 5 1985pre-cut 21mm XFHD21 5 1985pre-cut 25mm XFHD25 5 1985pre-cut 28mm XFHD28 5 1985pre-cut 32mm XFHD32 5 1985pre-cut 35mm XFHD35 5 1985pre-cut 38mm XFHD38 5 1985

z Second NatureWafer 110 x 100mm

32mm flange 2FL32 5 141038mm flange 2FL38 5 141045mm flange 2FL45 5 1410

Wafer 134 x 124mm57mm flange 2FL57 5 1410

Convex inserts for use with above - see "Pressure Plates"

o Second Nature Closed PouchesOpaque for:

45mm Flange 2C45 30 411257mm Flange 2C57 30 4112

o Second Nature Drainable PouchesOpaque for:

45mm Flange 2D45 30 4044

o Second Nature Urostomy Pouch - Transparent/overlap (includes 2 drain tube connectors per pack)

32mm Flange 2U32 10 286438mm Flange 2U38 10 286445mm Flange 2U45 10 286457mm Flange 2U57 10 2864

z Secu-Ring to fit:32mm Flange SR32 10 125338mm Flange SR38 10 125345mm Flange SR45 10 125357mm Flange SR57 10 1253

Manufacturer Appliance Order No. Quantity List Price p

850

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd o Welland Aura 2

Closed Pouch with soft backing, beige split cover and Dual Carb 2 filterMaxi

45mm MH2C145 30 526155mm MH2C155 30 526170mm MH2C170 10 1757

Midi45mm MH2C545 30 526155mm MH2C555 30 526170mm MH2C570 10 1757

Mini45mm MH2C445 30 526155mm MH2C455 30 5261

o Drainable Pouch with integral closure, soft backing, beige split cover and Dual Carb i filter

Maxi45mm MH2D145 30 527655mm MH2D155 30 527670mm MH2D170 10 1761

Midi45mm MH2D545 30 527655mm MH2D555 30 527670mm MH2D570 10 1761

Mini45mm MH2D445 30 527655mm MH2D455 30 5276

o Urostomy Pouch with soft backing, beige split cover and tapMaxi

45mm MH2U145 10 336955mm MH2U155 10 3369

Midi45mm MH2U545 10 336955mm MH2U555 10 3369

z Oval flange containing Manuka honey45mm size

cut-to-fit 13-40mm MH2F413 5 195455mm size

cut-to-fit 13-50mm MH2F513 5 195470mm size

cut-to-fit 13mm-65mm MH2F713 5 1954

z Oval urostomy flange containing Manuka honey45mm size

cut-to-fit 13-40mm MH2UF413 5 195455mm size

cut-to-fit 13-50mm MH2UF513 5 1954

z Oval convex flange containing Manuka honey45mm size

cut-to-fit 13-25mm MH2NF413 5 202755mm size

cut-to-fit 13-35mm MH2NF513 5 202770mm size

cut-to-fit 13mm-48mm MH2NF713 5 2027

z Oval urostomy convex flange containing Manuka honey45mm size

cut-to-fit 13-25mm MH2NUF413 5 202755mm size

cut-to-fit 13-35mm MH2NUF513 5 2027

851

11/2019 Part IXCSTOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Manufacturer Appliance Order No. Quantity List Price pWelland Medical Ltd o Welland FreeStyle

Closed Pouch with Dual Carb filterMidi size with beige softback front

45mm F2C445 30 529655mm F2C455 30 5296

Midi size with clear front45mm F2C645 30 529655mm F2C655 30 5296

Maxi size with beige softback front45mm F2C545 30 529655mm F2C555 30 5296

Maxi size with clear front45mm F2C745 30 529655mm F2C755 30 5296

Maxi Plus size with beige softback front45mm F2C145 30 529655mm F2C155 30 529670mm F2C170 10 1764

Maxi Plus size with clear front45mm F2C345 30 529655mm F2C355 30 529670mm F2C370 10 1764

Drainable Pouch with integral closure and Dual Carb filterMidi Size and beige softback front

45mm F2D445 30 522155mm F2D455 30 5221

Midi Size and clear front45mm F2D645 30 522155mm F2D655 30 5221

Maxi Size and beige softback front45mm F2D545 30 522155mm F2D555 30 5221

Maxi Size and clear front45mm F2D745 30 522155mm F2D755 30 5221

Maxi Plus size and beige softback front45mm F2D145 30 529655mm F2D155 30 529670mm F2D170 10 1764

Maxi Plus size and clear front45mm F2D345 30 529655mm F2D355 30 529670mm F2D370 10 1764

z Welland FreeStyle Flange45mm size

cut-to-fit 13-40mm F2F413 5 1960pre-cut 25mm F2F425 5 1960pre-cut 29mm F2F429 5 1960pre-cut 32mm F2F432 5 1960pre-cut 35mm F2F435 5 1960pre-cut 38mm F2F438 5 1960

55mm sizecut-to-fit 13-50mm F2F513 5 1960pre-cut 38mm F2F538 5 1960pre-cut 44mm F2F544 5 1960

70mm sizecut-to-fit 13mm-65mm F2F713 5 1960

852

Part IXC 11/2019STOMA APPLIANCES

TWO PIECE OSTOMY SYSTEMS

Welland Medical Ltd z Welland FreeStyle Flange Convex45mm flange

cut-to-fit 13mm - 25mm N2F413 5 204055mm flange

cut-to-fit 13mm - 35mm N2F513 5 2040pre-cut 25mm N2F525 5 2040pre-cut 29mm N2F529 5 2040pre-cut 32mm N2F532 5 2040pre-cut 35mm N2F535 5 2040

70mm flangecut-to-fit 13mm - 48mm N2F713 5 2040

o Welland Silhouette 2 Closed Pouch with soft backing and filter

Beige45mm UNC545 30 377860mm UNC560 30 3778

Drainable Pouch with soft backing and filterBeige

45mm UNF545 30 383760mm UNF560 30 3837

Urostomy Pouch with soft backing and tapBeige

45mm UNU945 10 2810Clear

45mm UNU745 10 281060mm UNU760 10 2752

z Welland Silhouette 2 Flange45mm size

starter hole UNH410 5 1417pre-cut 25mm UNH425 5 1417pre-cut 32mm UNH432 5 1417pre-cut 38mm UNH438 5 1417

60mm sizestarter hole UNH610 5 1417pre-cut 32mm UNH632 5 1417pre-cut 44mm UNH644 5 1417pre-cut 51mm UNH651 5 1417pre-cut 57mm UNH657 5 1417

Welland Silhouette 2 Flange Dual Adhesive45mm size

starter hole UNB410 5 1417pre-cut 25mm UNB425 5 1417pre-cut 32mm UNB432 5 1417pre-cut 38mm UNB438 5 1417

60mm sizestarter hole UNB610 5 1417pre-cut 32mm UNB632 5 1417pre-cut 44mm UNB644 5 1417pre-cut 51mm UNB651 5 1417pre-cut 57mm UNB657 5 1417

z Welland Silhouette 2 Flange Urostomy45mm size - starter hole UUU413 5 140260mm size - starter hole UUU613 5 1372

Manufacturer Appliance Order No. Quantity List Price p

853

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

All products in this category qualify for the stoma customisation fee.

All products in this category must be dispensed with a supply of wipes and disposal bags.

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

B. Braun Medical Softima Uro Silk 1 piece urostomy pouchBeige

cut-to-fit 12-55mm 043914E 30 16281Transparent

cut-to-fit 12-55mm 043913E 30 16281

Softima Uro Silk Convex Urostomy BagBeigeP cut-to-fit 15-25mm 43916E 10 5427

cut-to-fit 15-35mm 43919E 10 5427P pre-cut 25mm 43921E 10 5427P pre-cut 30mm 43923E 10 5427Transparent

cut-to-fit 15-25mm 43915E 10 5427cut-to-fit 15-35mm 43917E 10 5427pre-cut 25mm 43920E 10 5427pre-cut 30mm 43922E 10 5427

C S Bullen Ltd LenbulBag with tap

Day U5 1 1536Night U6 1 1754

Bag with large openingDay U7 1 1594Night U8 1 1821

CliniSupplies Ltd ZenSiv 1-piece urostomy bag with flex tap and windowBeige

cut-to-fit 10-57mm U1NB10F 15 6900pre-cut 25mm U1NB25F 15 7410pre-cut 32mm U1NB32F 15 7410pre-cut 38mm U1NB38F 15 7410

ZenSiv 1-piece urostomy bag with flex tapTransparent

cut-to-fit 10-57mm U1NC10F 15 7410

Pto be deleted 1 January 2020

854

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd Assura (include 4 drain tube adaptors per pack)Urostomy Bag with Soft BackingMidi Clear with soft backing on body-worn sidecut-to-fit 10-55mm 2550 30 14955Midi Eu with soft backing on body-worn sidecut-to-fit 10-55mm 2540 30 14955Maxi Clear with soft backing on body-worn sidecut-to-fit 10-55mm 2570 30 14955Maxi Opaque with soft backing on body-worn sidecut-to-fit 10-55mm 2560 30 14955Paediatric Clear with soft backing on body-worn sidecut-to-fit 10-35mm 2135 30 14955Paediatric Opaque with soft backing on body-worn sidecut-to-fit 10-35mm 2130 30 14955

Assura Multichamber One PieceUrostomy Bag with Soft BackingMidi Transparentcut-to-fit 10-55mm 14212 30 18546Maxi Transparentcut-to-fit 10-55mm 14222 30 18546Midi Whitecut-to-fit 10-55mm 14211 30 18546Maxi Whitecut-to-fit 10-55mm 14221 30 18546

Assura Seal Integral Convexity Urostomy BagMaxi Clear

15mm 12991 10 485318mm 12992 10 485321mm 12993 10 485325mm 12994 10 485328mm 12995 10 485331mm 12996 10 4853

Maxi Transparentstarter hole15-33mm 12595 10 485315-43mm 12596 10 4853pre-cut35mm 12997 10 4853

Assura Soft Seal Multichamber One pieceMaxi Transparent

15-33mm 14716 10 607815-43mm 14717 10 6078

Maxi White15-33mm 14712 10 607815-43mm 14713 10 6078

855

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio 1-piece Urostomy BagMidi Neutral Grey

cut-to-fit10-45mm 10581 30 18546

Maxi Neutral Greycut-to-fit

10-45mm 10582 30 18546pre-cut

20mm 10583 30 1854625mm 10584 30 1854630mm 10585 30 18546

Maxi Transparentcut-to-fit

10-45mm 10586 30 18546

SenSura Mio 1-piece Urostomy Bag with integral soft convexity and BodyFitTechnologyMidi Neutral Grey

starter hole10-33mm 16801 10 6079

Maxi Neutral Greystarter hole

10-33mm 16805 10 6079Maxi Transparent

starter hole10-50mm 16810 10 6079

SenSura Mio 1-piece Urostomy Bag with integral light convexity and BodyFitTechnologyMidi Neutral Grey

starter hole10-23mm 16821 10 607915-33mm 16822 10 607931-43mm 16823 10 6079

Maxi Neutral Greystarter hole

10-23mm 16825 10 607915-33mm 16826 10 607931-43mm 16827 10 6079

pre-cut18mm (cuts to 23mm) 16830 10 607921mm (cuts to 23mm) 16831 10 607925mm (cuts to 33mm) 16832 10 6079

Maxi Transparentstarter hole

10-23mm 16835 10 607915-33mm 16836 10 607910-43mm 16837 10 6079

856

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio 1-piece Urostomy Bag with integral deep convexity and BodyFitTechnologyMidi Neutral Grey

starter hole10-23mm 16851 10 607915-33mm 16852 10 607931-43mm 16853 10 6079

Maxi Neutral Greystarter hole

10-23mm 16855 10 607915-33mm 16856 10 607931-43mm 16857 10 6079

pre-cut25mm (cuts to 33mm) 16862 10 607928mm (cuts to 33mm) 16863 10 6079

Maxi Transparentstarter hole

10-23mm 16865 10 607910-43mm 16867 10 6079

SenSura Mio Concave 1-Piece Urostomy Bag with BodyFit TechnologyMidi Neutral Grey

starter hole10-40mm 18400 10 6043

Maxi Neutral Greystarter hole

10-40mm 18401 10 6043pre-cut

20mm 18402 10 604325mm 18403 10 604330mm 18404 10 6043

Maxi Transparentstarter hole

10-40mm 18405 10 6046

857

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Coloplast Ltd SenSura Mio Kids 1-piece Urostomy Bag with BodyFit TechnologyNeutral Grey

cut-to-fit10-35mm 18713 10 6182

Transparentcut-to-fit

10-35mm 18712 10 6182

SenSura Multichamber One Piece Urostomy BagMidi 10-66mm

Soft Cover 11801 30 18546Clear 11803 30 18546

Maxi 10-76mmSoft Cover 11802 30 18546Clear 11804 30 18546

SenSura Soft Seal Multichamber One Piece Urostomy BagMaxi cut-to-fit 15-33mm

Soft Cover 11811 10 6078Clear 11814 10 6078

Maxi cut-to-fit 15-43mmSoft Cover 11812 10 6078Clear 11815 10 6078

858

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pConvaTec Ltd Esteem Urostomy pouch with Fold-Up Tap (includes 2 drain tube adaptors per

pack)Standard - Opaquecut-to-fit

13-45mm S5140 10 5407pre-cut

20mm S5141 10 540725mm S5142 10 540730mm S5143 10 540735mm S5144 10 5407

Small -Opaquecut-to-fit

13-45mm S5120 10 5407Standard-Transparentcut-to-fit

13-45mm S5130 10 5508pre-cut

20mm S5131 10 550825mm S5132 10 550830mm S5133 10 550835mm S5134 10 5508

Small-Transparentcut-to-fit

13-45mm S5110 10 5508pre-cut

25mm S5112 10 550830mm S5113 10 550835mm S5114 10 5508

Esteem+ Flex Convex Urostomy pouch30mm Plateaucut-to-fit

10mm-25mm 421628 10 5603pre-cut

15mm 421629 10 560340mm Plateaucut-to-fit

10mm-35mm 421626 10 5603pre-cut

15mm 421627 10 560350mm Plateaucut-to-fit

10mm-43mm 421623 10 5603pre-cut

15mm 421624 10 560320mm 421625 10 5603

Urodress19mm S896 10 550825mm S897 10 550832mm S898 10 550838mm S899 10 550845mm S900 10 5508

Urodress Deep Convex Urostomy PouchClear Standard

16mm S910 5 242319mm S911 5 242322mm S912 5 242325mm S913 5 242328mm S914 5 242332mm S915 5 242335mm S916 5 2423

859

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Dansac Ltd Dansac Nova 1 Convex Urostomy pouch with 6mm convex depthClear

cut-to-fit15-24mm 894-24 10 564415-37mm 894-37 10 564415-46mm 894-46 10 5644

pre-cut20mm 894-20 10 564425mm 894-25 10 564430mm 894-30 10 5644

Nova 1 Urostomy pouch with 3mm soft convexityClear

pre-cut20mm 892-20 10 549825mm 892-25 10 549830mm 892-30 10 5498

Opaquecut-to-fit

12-46mm 891-12 10 5489pre-cut

20mm 891-20 10 548925mm 891-25 10 548930mm 891-30 10 5489

Transparentcut-to-fit

12-46mm 892-12 10 5489

DBT Medical Ltd Birkbeck Black RubberDay Bag

19mm LM 723125 1 3599Pink Rubber

Day Bag19mm LM 724125 1 3599

Night Bag19mm LM 724175 1 3926

White Rubber Glasgow BagSmall tap LM 884230 1 2388Large tap LM 884232 1 2388

White Rubber TransverseBag Right

Small LM 884104 1 2388Medium LM 884105 1 2388Large LM 884106 1 2388

White Rubber TransverseBag Left

Small LM 884114 1 2388Medium LM 884115 1 2388Large LM 884116 1 2388

860

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Compact Urostomy Pouch (All include 1 drain tube per pack)Transparent-with beige comfort backing on body-worn side

cut-to-fit13-64mm 1401 10 5470

pre-cut19mm 1447 10 547025mm 1442 10 547032mm 1448 10 547038mm 1443 10 5470

ImpressionWith Convex wafer (transparent)

16mm 1481 10 572119mm 1482 10 572122mm 1483 10 572125mm 1484 10 572129mm 1485 10 572132mm 1486 10 572135mm 1487 10 572138mm 1488 10 572144mm 1489 10 5721

Impression "C" with convex wafer Transparent with beige comfort backing onbody-worn side

13mm 1450 10 499816mm 1451 10 499819mm 1452 10 499822mm 1453 10 499825mm 1454 10 499829mm 1455 10 499832mm 1456 10 499835mm 1457 10 499838mm 1458 10 499844mm 1459 10 4998

Lo-ProfileWith Microporous II Adhesive and Karaya 5 Seal

Gasket Size:25mm 1432 10 618132mm 1438 10 618138mm 1433 10 618144mm 1439 10 618151mm 1434 10 6181

861

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Moderma FlexBeige

15-55mm 29100 10 524120mm 29120 10 524125mm 29125 10 524130mm 29130 10 524135mm 29135 10 5241

Transparent15-55mm 29500 10 5241

Flextend Barrier and Adhesive BorderBeige

15-64mm 29000 10 645325mm 29025 10 645330mm 29030 10 645335mm 29035 10 645340mm 29040 10 6453

Transparent15-64mm 29400 10 645320mm 29420 10 645325mm 29425 10 645330mm 29430 10 645335mm 29435 10 645340mm 29440 10 6453

Flextend Barrier and Adhesive Borderwith enhanced tapBeige

15-64mm 2909064 10 6455 KTransparent

15-64mm 2949064 10 6455 K

Moderma Flex CeraPlusUrostomy pouch with adhesive borderTransparent

15-64mm 59400 10 6561

Moderma Flex CeraPlus ConvexUrostomy pouch with adhesive borderTransparent

15-25mm 59700 10 656115-38mm 59701 10 656115-51mm 59702 10 6561

Moderma Flex CeraPlus Soft ConvexUrostomy pouch with adhesive border and enhanced tap ultra clearcut-to-fit

15-25mm 59900 10 663215-38mm 59901 10 663215-55mm 59902 10 6632

Urostomy pouch with adhesive border, enhanced tap and viewing optionpre-cut

20mm 59820 10 663225mm 59825 10 663230mm 59830 10 6632

862

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Hollister Ltd Moderma Flex ConvexFlextend Convex Skin Barrier and Adhesive BorderBeige

15-25mm 29600 10 661415-38mm 29601 10 661420mm 29620 10 661425mm 29625 10 661430mm 29630 10 661435mm 29635 10 661440mm 29640 10 6614

Transparent15-25mm 29700 10 661415-38mm 29701 10 661420mm 29720 10 661425mm 29725 10 661430mm 29730 10 661435mm 29735 10 661440mm 29740 10 6614

Flextend Convex Skin Barrier and Adhesive Borderwith enhanced tapBeige

15-25mm 2969025 10 6617 K15-38mm 2969038 10 6617 K25mm 2969125 10 6617 K

30mm 2969130 10 6617 K35mm 2969135 10 6617 K

Transparent15-25mm 2979025 10 6617 K15-38mm 2979038 10 6617 K20mm 2979120 10 6617 K

25mm 2979125 10 6617 K30mm 2979130 10 6617 K35mm 2979135 10 6617 K

40mm 2979140 10 6617 K

Manufacturer Appliance Order No. Quantity List Price p

863

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Hollister Ltd Midi urostomy pouch with integral convexity, symmetrical shapeBeige with comfort backing on both sides

cut-to-fit15-25mm 29200 10 537315-38mm 29201 10 5373

pre-cut20mm 29220 10 537325mm 29225 10 537330mm 29230 10 537335mm 29235 10 5373

Transparent with comfort backing on body worn sidecut-to-fit

15-25mm 29300 10 537315-38mm 29301 10 5373

pre-cut20mm 29320 10 537325mm 29325 10 537330mm 29330 10 537335mm 29335 10 5373

Moderma Flex SoftFlex SoftFlex skin barrier 1 piece urostomy pouch with enhanced tap

Beigecut-to-fit

15-55mm 2919055 10 5194pre-cut

25mm 2919125 10 519430mm 2919130 10 519435mm 2919135 10 5194

Transparentcut-to-fit

15-55mm 2959055 10 5194

Moderma Flex SoftFlex ConvexSoftFlex skin barrier 1 piece urostomy pouch with enhanced tap

Beigecut-to-fit

15-25mm 2929025 10 532415-38mm 2929038 10 5324

pre-cut25mm 2929125 10 532430mm 2929130 10 5324

Transparentcut-to-fit

15-25mm 2939025 10 532415-38mm 2939038 10 5324

pre-cut20mm 2939120 10 532425mm 2939125 10 532430mm 2939130 10 532435mm 2939135 10 5324

Pouchkins paediatriccut-to-fit 0-38mm 3797 10 4993

864

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Jade Euro Med Ltd White rubber urostomy bagsNight bag tap outlet KM 47 1 2218Day bag tap outlet KM 45 1 1936

ChironBlack Rubber Day Bag 22mm WF205-22-T 1 4512Latex Rubber Day Bag 38mm WF203-38-B 1 3126Latex Rubber Night Bag 38mm WF213-38-G 1 3424White Rubber Day Bag 38mm WF201-38-S 1 3126White Rubber Night Bag 38mm WF211-38-X 1 3545White Rubber Night Bag 44mm WF211-44-S 1 3545White Rubber Night Bag 51mm WF211-51-P 1 3545

MitchamMaxiadhesive

25mm WH119-25-G 10 5138non-adhesive

25mm WH009-25-U 10 419538mm WH009-38-E 10 4195

Standardadhesive

25mm WH111-25-W 10 513838mm WH111-38-G 10 5138

non-adhesive19mm WH002-19-U 10 419525mm WH002-25-P 10 419532mm WH002-32-L 10 419538mm WH002-38-Y 10 4195

* With Foam Pads*Replacement Bags for Surrey Urinal on page 600non-adhesive

25mm WH012-25-U 1 70732mm WH012-32-R 1 70738mm WH012-38-E 1 707

Manufacturer Appliance Order No. Quantity List Price p

865

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Marlen Healthcare Ltd UltraLiteTransparent

starter hole12mm 761312 10 4132

Flat pre-cut12mm 761412 10 413216mm 761416 10 413219mm 761419 10 413222mm 761422 10 413225mm 761425 10 413229mm 761429 10 413232mm 761432 10 413234mm 761434 10 413238mm 761438 10 413241mm 761441 10 413244mm 761444 10 413248mm 761448 10 413250mm 761450 10 413254mm 761454 10 413257mm 761457 10 413260mm 761460 10 413263mm 761463 10 413267mm 761467 10 413270mm 761470 10 413273mm 761473 10 413276mm 761476 10 4132

Shallow Convex pre-cut12mm 761512 10 413216mm 761516 10 413219mm 761519 10 413222mm 761522 10 413225mm 761525 10 413229mm 761529 10 413232mm 761532 10 413234mm 761534 10 413238mm 761538 10 413241mm 761541 10 413244mm 761544 10 413248mm 761548 10 413250mm 761550 10 413254mm 761554 10 413257mm 761557 10 413260mm 761560 10 413263mm 761563 10 413267mm 761567 10 413270mm 761570 10 413273mm 761573 10 413276mm 761576 10 4132

866

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price pMarlen Healthcare Ltd UltraLite Urostomy Deep Convex Pouch

Transparentpre-cut

12mm 761612 10 466016mm 761616 10 466019mm 761619 10 466022mm 761622 10 466025mm 761625 10 466029mm 761629 10 466032mm 761632 10 466034mm 761634 10 466038mm 761638 10 466041mm 761641 10 466044mm 761644 10 4660

UltraMaxTransparent

Flat starter hole 72400 10 471412mm 72412 10 471416mm 72416 10 471419mm 72419 10 471422mm 72422 10 471425mm 72425 10 471429mm 72429 10 471432mm 72432 10 471434mm 72434 10 471438mm 72438 10 471441mm 72441 10 471444mm 72444 10 471450mm 72450 10 471455mm 72455 10 4714Convex starter hole 72500 10 471412mm 72512 10 471416mm 72516 10 471419mm 72519 10 471422mm 72522 10 471425mm 72525 10 471429mm 72529 10 471432mm 72532 10 471434mm 72534 10 471438mm 72538 10 4714

UltraMax Atlas Deep Convex Urostomy pouchClear

12mm 72612 10 406019mm 72619 10 406022mm 72622 10 406025mm 72625 10 406032mm 72632 10 406038mm 72638 10 406045mm 72645 10 4060

UltraMax SuperFlat Urostomy PouchClear

cut-to-fit12-55mm 1724 10 4714

867

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price pNu-Hope Laboratories Nu-Hope Urostomy Pouch

FlatStandardpre-cut 13mm 8254 10 5195

16mm 8255 10 519519mm 8256 10 519522mm 8257 10 519525mm 8258 10 519528mm 8259 10 519531mm 8260 10 519534mm 8261 10 519538mm 8262 10 519541mm 8263 10 519544mm 8264 10 519550mm 8266 10 519556mm 8268 10 538363mm 8270 10 538369mm 8272 10 538375mm 8274 10 5383

Largepre-cut 13mm 8254-L 10 4968

16mm 8255-L 10 496819mm 8256-L 10 496822mm 8257-L 10 496825mm 8258-L 10 496828mm 8259-L 10 496831mm 8260-L 10 496834mm 8261-L 10 496838mm 8262-L 10 4968

Regular ConvexityStandardpre-cut 13mm 8254-C 10 5679

16mm 8255-C 10 567919mm 8256-C 10 567922mm 8257-C 10 567925mm 8258-C 10 567928mm 8259-C 10 567931mm 8260-C 10 567934mm 8261-C 10 567938mm 8262-C 10 5679

Largepre-cut 13mm 8254-LC 10 5855

16mm 8255-LC 10 585519mm 8256-LC 10 585522mm 8257-LC 10 585525mm 8258-LC 10 585528mm 8259-LC 10 585531mm 8260-LC 10 585534mm 8261-LC 10 585538mm 8262-LC 10 5855

Deep ConvexityStandardpre-cut 13mm 8254-DC 10 5937

16mm 8255-DC 10 593719mm 8256-DC 10 593722mm 8257-DC 10 593725mm 8258-DC 10 593728mm 8259-DC 10 593731mm 8260-DC 10 593734mm 8261-DC 10 593738mm 8262-DC 10 5937

868

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Nu-Hope Laboratories Largepre-cut 13mm 8254-L-DC 10 6121

16mm 8255-L-DC 10 612119mm 8256-L-DC 10 612122mm 8257-L-DC 10 612125mm 8258-L-DC 10 612128mm 8259-L-DC 10 612131mm 8260-L-DC 10 612134mm 8261-L-DC 10 612138mm 8262-L-DC 10 6121

Oakmed Ltd Option Bi-Form Urostomy Pouch with soft covering to both sides with windowOpaquecut-to-fit 13-45mm BF-1300K 20 10878pre-cut 16mm BF-1600K 20 10878

19mm BF-1900K 20 1087822mm BF-2200K 20 1087825mm BF-2500K 20 1087832mm BF-3200K 20 1087838mm BF-3800K 20 10878

Option Hydrocolloid Low Profile Soft Convex Urostomy pouchClear28mm Plateaucut-to-fit 15-28mm LPSCU28-0015C 20 12139

15-40mm LPSCU40-0015C 20 1213915-47mm LPSCU47-0015C 20 12139

Opaque28mm Plateaucut-to-fit 15-28mm LPSCU28-0015 20 12271pre-cut 20mm LPSCU28-0020 20 12271

25mm LPSCU28-0025 20 1227140mm Plateaucut-to-fit 15-40mm LPSCU40-0015 20 12271pre-cut 20mm LPSCU40-0020 20 12271

25mm LPSCU40-0025 20 1227130mm LPSCU40-0030 20 1227135mm LPSCU40-0035 20 12271

47mm Plateaucut-to-fit 15-47mm LPSCU47-0015 20 12271pre-cut 20mm LPSCU47-0020 20 12271

25mm LPSCU47-0025 20 1227130mm LPSCU47-0030 20 1227135mm LPSCU47-0035 20 1227140mm LPSCU47-0040 20 1227145mm LPSCU47-0045 20 12271

869

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Oakmed Ltd Option Urostomy Clear with soft covering to one sideClearcut-to-fit 13-60mm GC1300C 20 9348

Option Urostomy with soft covering to both sides with windowcut-to-fit 13-50mm GC1300 20 9512pre-cut 16mm GC1600 20 9512

19mm GC1900 20 951222mm GC2200 20 951225mm GC2500 20 951232mm GC3200 20 951238mm GC3800 20 9512

Option Urostomy Microskin with soft covering to both sidesOpaque

cut-to-fit 13-50mm MJ1300 20 9527pre-cut 16mm MJ1600 20 9527

19mm MJ1900 20 952722mm MJ2200 20 952725mm MJ2500 20 952732mm MJ3200 20 952738mm MJ3800 20 9527

Option Urostomy Mini MicroskinOpaque

cut-to-fit 13mm-40mm TC1300 20 9360

Option Soft Convex Urostomy pouch, soft cover to both sides with windowOpaque25mm Plateaucut-to-fit 15-24mm SCU25-0015 20 12338pre-cut 20mm SCU25-0020 20 1233835mm Plateaucut-to-fit 15-34mm SCU35-0015 20 12338pre-cut 20mm SCU35-0020 20 12338

25mm SCU35-0025 20 1233830mm SCU35-0030 20 12338

45mm Plateaucut-to-fit 15-44mm SCU45-0015 20 12338pre-cut 20mm SCU45-0020 20 12338

25mm SCU45-0025 20 1233830mm SCU45-0030 20 1233835mm SCU45-0035 20 1233840mm SCU45-0040 20 12338

Option Soft Convex Urostomy pouch with soft covering to one sideClear25mm Plateaucut-to-fit 15mm-24mm SCU25-0015C 20 1223835mm Plateaucut-to-fit 15mm-34mm SCU35-0015C 20 1223845mm Plateaucut-to-fit 15mm-44mm SCU45-0015C 20 12238

Manufacturer Appliance Order No. Quantity List Price p

870

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Peak Medical Ltd Uromate 1 piece urostomy pouch, semi-transparent, beige non-woven backingand needle-pin overlap, non-return valve, soft bottom outlet tap

Medium 13mm starter hole UMT113B 20 10955Large 13mm starter hole ULT113B 20 10955pre-cut 19mm ULT119B 20 10955

22mm ULT122B 20 1095525mm ULT125B 20 1095528mm ULT128B 20 1095532mm ULT132B 20 1095535mm ULT135B 20 1095538mm ULT138B 20 10955

Uromate 1 piece extra small urostomy pouch, semi-transparent, beige non-woven, non-return valve, soft bottom outlet tap

10mm starter hole UXST110B 20 10955Uromate 1-piece urostomy oval soft convex pouch with split cover, non-return valve, 4-point belt lugs and soft bottom outlet tap

TransparentLargestarterhole

13-44x29mm ULTCO113B-44 10 6266

Uromate 1-piece urostomy soft convex pouch with split cover, non-return valve, 4-point belt lugs and soft bottom outlet tap

TransparentLargestarterhole

13-35mm ULTC113B-35 10 6326

13-44mm ULTC113B-44 10 6326pre-cut 16mm ULTC116B 10 6326

19mm ULTC119B 10 632622mm ULTC122B 10 632625mm ULTC125B 10 632628mm ULTC128B 10 632632mm ULTC132B 10 632635mm ULTC135B 10 632638mm ULTC138B 10 6326

871

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

Pelican Platinum Contour Convex urostomy pouch with soft foam backedconvex contour skin protector, fabric on both sides, split fabric backing for viewing/positioning and soft bung

Clear Standardcut-to-fit 12-40mm 421412 10 5602

15-60mm 422415 10 5808pre-cut 20mm 421420 10 5602

25mm 421425 10 560230mm 421430 10 560235mm 421435 10 560240mm 421440 10 5602

Clear Minicut-to-fit 12-40mm 421212 10 5602Clear Maxicut-to-fit 12-40mm 421612 10 5602

Pelican Platinum Contour Convex urostomy pouch with soft foam backedconvex contour skin protector, fabric on both sides, split fabric backing for viewing/positioning, tap and 2 adaptors for a night drainage bag

Clear Standardcut-to-fit 12-40mm 423412 10 5808

15-60mm 424415 10 6013pre-cut 20mm 423420 10 5808

25mm 423425 10 580830mm 423430 10 580835mm 423435 10 580840mm 423440 10 5808

Clear Minicut-to-fit 12-40mm 423212 10 5808Clear Maxicut-to-fit 12-40mm 423612 10 5808

Pelican Platinum Convex urostomy pouch with soft foam backed convex skinprotector, fabric on both sides, split fabric backing for viewing/positioning and softbung

Clear Standardcut-to-fit 12-40mm 321412 10 5602

15-60mm 322415 10 5808pre-cut 20mm 321420 10 5602

25mm 321425 10 560230mm 321430 10 560235mm 321435 10 560240mm 321440 10 5602

Clear Minicut-to-fit 12-40mm 321212 10 5602Clear Maxicut-to-fit 12-40mm 321612 10 5602

Pelican Platinum Convex urostomy pouch with soft foam backed convex skinprotector, fabric on both sides, split fabric backing for viewing/positioning, tap and2 adaptors for a night drainage bag

Clear Standardcut-to-fit 12-40mm 323412 10 5808

15-60mm 324415 10 6013pre-cut 20mm 323420 10 5808

25mm 323425 10 580830mm 323430 10 580835mm 323435 10 580840mm 323440 10 5808

Clear Minicut-to-fit 12-40mm 323212 10 5808Clear Maxicut-to-fit 12-40mm 323612 10 5808

872

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price pPelican Healthcare Ltd

Pelican Platinum with Vitamin E Convex Urostomy Pouch with soft foam backed contour skin protector containing Vitamin E, fabric on both sides, split fabric backing for viewing/positioning and flexible bungClear Mini

cut-to-fit 12-40mm 421212E 10 5608Clear Standard

cut-to-fit 12-40mm 421412E 10 5608Clear Maxi

cut-to-fit 12-40mm 421612E 10 5608Clear Standard

cut-to-fit 15-60mm 422415E 10 5811pre-cut 20mm 421420E 10 5608

25mm 421425E 10 560830mm 421430E 10 560835mm 421435E 10 560840mm 421440E 10 5608

Pelican Select Urostomy Pouch with soft covering to both sidescut-to-fit 15mm-65mm 114215 30 16131pre-cut 20mm 114220 30 16131

25mm 114225 30 1613127.5mm 114227 30 1613130mm 114230 30 1613132.5mm 114232 30 1613135mm 114235 30 1613137.5mm 114237 30 1613140mm 114240 30 1613145mm 114245 30 1613150mm 114250 30 1613155mm 114255 30 16131

Minicut-to-fit 15mm-65mm 114415 30 16131Maxicut-to-fit 15mm-65mm 114615 30 16131

Pelican Select Convex Urostomy Pouch with soft convexitycut-to-fit 12mm-40mm 115412 10 5544pre-cut 20mm 115420 10 5544

22.5mm 115422 10 554425mm 115425 10 554427.5mm 115427 10 554430mm 115430 10 554432.5mm 115432 10 554435mm 115435 10 554437.5mm 115437 10 554440mm 115440 10 5544

Minicut-to-fit 12mm-40mm 115212 10 5544Maxicut-to-fit 12mm-40mm 115612 10 5544

Urostomy Pouch integral convexity with split fabric backingClear Standardcut-to-fit 15mm-60mm 119415 10 5759

Pelican Select Convex Paediatric Urostomy Pouch with soft convexity, clear medical film, split fabric backing and softbelt loops

cut-to-fit 5mm-30mmPlain 112713 10 5450Printed 112712 10 5450

Pelican Select Paediatric Urostomy Pouch with clear medical film, split fabricbacking and teddy print

cut-to-fit 10mm-50mm 112706 30 16131

873

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price pSalts Healthcare Confidence Convex Urostomy Supersoft

1 piece integral convexity urostomy pouches with hypoallergenic hydrocolloid andsoft beige comfort backing on both sides, with overlap. (Includes 2 drain tubeconnectors per pack)Standard

starter hole13-25mm CUSS1325 10 532113-38mm CUSS1338 10 532113-52mm CUSS1352 10 5321

pre-cut21mm CUSS21 10 532125mm CUSS25 10 532128mm CUSS28 10 532132mm CUSS32 10 532135mm CUSS35 10 532138mm CUSS38 10 5321

Confidence GoldUrostomy Pouch with hypoallergenic hydrocolloid and transparent film/soft beige overlap comfort backing on both sides. (Includes 2 drain tube connectors per pack)Standard

starter hole13mm UNW13 10 4831

pre-cut25mm UNW25 10 483132mm UNW32 10 4831

Standard with oval wafer starter holestarter hole

13mm UTO13 10 4987Urostomy Pouch with hypoallergenic hydrocolloid and transparent film/soft beigeoverlap comfort backing on both sides. (Includes 2 drain tube connectors perpack)Small

starter hole13mm USNW13 10 4831

Confidence Natural Urostomy pouches with comfort backing on both sides withoverlap and hypoallergenic Flexifit hydrocolloid wafer containing aloe extracts(Includes 2 drain tube connectors per pack)Standard

starter hole13mm NU13 10 509625mm NU25 10 509628mm NU28 10 509632mm NU32 10 509635mm NU35 10 5096

Smallstarter hole

13mm NUS13 10 5096

874

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Urostomy Bags

Manufacturer Appliance Order No. Quantity List Price p

Salts Healthcare Confidence Natural Advance Urostomy Pouches with comfort backing on bothsides with overlap and superior adhesion Flexifit hydrocolloid wafer containingAloe Vera extracts (Includes 2 drain tube connectors per pack)Standard

starter hole13mm NUA13 10 509125mm NUA25 10 509128mm NUA28 10 509132mm NUA32 10 509135mm NUA35 10 5091

Smallstarter hole

13mm NUAS13 10 5091

Koenig RutzenAll Rubber Black with Tap outlet and N-R valve

Large25mm 181125 1 501532mm 181132 1 5015

Medium25mm 181325 1 5015

with metal bridge, tap outlet and N-R valveLarge

38mm 185138 1 5863MB with Bridge, Tap outlet and N-R valve

Large25mm 188125 1 704032mm 188132 1 7040

Light WhiteOpaque

Large25mm 294125 20 10368

Adhesive BagClear

Large32mm 299132 20 1084138mm 299138 20 10841

with Realistic WasherOpaque

Large32mm 292132 20 1359538mm 292138 20 13595

875

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Ward Surgical Appliance Co

Ureterostomy Bagtap outlet, 19mm, 35mm or 54mm opening

Night Size WM 47 1 2019Day Size WM 48 1 1891

Welland Medical Ltd Welland Aura Urostomy Pouch with soft backing, tapered flange with Manukahoney and soft outletMaxi

Beige - Split Covercut-to fit 13mm-55mm MHTL 513 10 6119

Clearcut-to fit 13mm-55mm MHTL 713 10 6119

MidiBeige - Split Cover

cut-to fit 13mm-55mm MHTM 513 10 6119Clear

cut-to fit 13mm-55mm MHTM 713 10 6119

Welland Aura Convex Urostomy pouch with integral convexity, beige, split soft cover, flange containingManuka honey.Beige

Midistarter hole

25mm MHNUS513 10 602435mm MHNUM513 10 602448mm MHNUL513 10 6024

Maxistarter hole

25mm MHNUS913 10 602435mm MHNUM913 10 602448mm MHNUL913 10 6024

ClearMidistarter hole

35mm MHNUM713 10 602448mm MHNUL713 10 6024

Maxistarter hole

35mm MHNUM313 10 602448mm MHNUL313 10 6024

876

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland Aura ProfileUrostomy pouch with curvex soft, mouldable flange containing Manuka honey,integral belt loops and soft outletBeige

Midistarter hole

25mm MHCUS513 10 603035mm MHCUM513 10 603048mm MHCUL513 10 6030

Maxistarter hole

25mm MHCUS913 10 603035mm MHCUM913 10 603048mm MHCUL913 10 6030

ClearMidistarter hole

35mm MHCUM713 10 603048mm MHCUL713 10 6030

Maxistarter hole

35mm MHCUM313 10 603048mm MHCUL313 10 6030

Welland Curvex UroUrostomy Pouch with soft, mouldable flange, all over soft cover and soft outlet

Clear25mm plateau, cut-to-fit CUS 713 10 513132mm plateau, cut-to-fit CUM 713 10 513143mm plateau, cut-to-fit CUL 713 10 5131

Beige25mm plateau, cut-to-fit CUS 913 10 513132mm plateau, cut-to-fit CUM 913 10 513143mm plateau, cut-to-fit CUL 913 10 5131

877

11/2019 Part IXCSTOMA APPLIANCES

UROSTOMY BAGS

Manufacturer Appliance Order No. Quantity List Price p

Welland Medical Ltd Welland FreeStyle VieUrostomy Pouch with soft backingFlat

Split Beigecut-to-fit 13-60mm PUR 513 10 6055

Clearcut-to-fit 13-60mm PUR 713 10 6055

TaperedSplit Beige

cut-to-fit 13-55mm PUT 513 10 6055Clear

cut-to-fit 13-55mm PUT 713 10 6055

Welland FreeStyle Vie ConvexUrostomy Pouch with integral convexity, Integral belt loops and soft outlet Split beige double-sided softbackSmall Plateau

cut-to-fit 13-25mm PNUS 513 10 5973

Medium Plateaucut-to-fit

13-35mm PNUM 513 10 5973Large Plateau

cut-to-fit 13-48mm PNUL 513 10 5973

Clear with beige soft backing on body sideSmall Plateau

cut-to-fit 13-25mm PNUS 713 10 5973

Medium Plateaucut-to-fit

13-35mm PNUM 713 10 5973Large Plateau

cut-to-fit 13-48mm PNUL 713 10 5973

878

Part IXC 11/2019STOMA APPLIANCES

UROSTOMY BAGS

Welland Medical Ltd Welland FreeStyle Vie CurvexUrostomy Pouch with soft, mouldable flange, Integral belt loops and soft outlet Beige double-sided softbackSmall Plateau

cut-to-fit 13-25mm PCUS 513 10 5973

Medium Plateaucut-to-fit

13-32mm PCUM 513 10 5973Large Plateau

cut-to-fit 13-43mm PCUL 513 10 5973

Clear with beige soft backing on body sideSmall Plateau

cut-to-fit 13-25mm PCUS 713 10 5973

Medium Plateaucut-to-fit

13-32mm PCUM 713 10 5973Large Plateau

cut-to-fit 13-43mm PCUL 713 10 5973

Welland Silhouette UroUrostomy Pouch with soft backing and soft outlet

Clear13mm SUR 713 10 480516mm SUR 716 10 480519mm SUR 719 10 480522mm SUR 722 10 480525mm SUR 725 10 480532mm SUR 732 10 480538mm SUR 738 10 4805

Beige13mm SUR 913 10 480516mm SUR 916 10 480519mm SUR 919 10 480522mm SUR 922 10 480525mm SUR 925 10 480532mm SUR 932 10 480538mm SUR 938 10 4805

Manufacturer Appliance Order No. Quantity List Price p

879

11/2019 Part IXCSTOMA APPLIANCES

MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS (STOMA APPLIANCES)

3M Health Care Ltd, 3M House, Morley Street, Loughborough, Leics, LE11 1EP (01509 611611)

AMI Medical Ltd, Unit 4 Central Court, Off Finch Close, Nottingham, NG7 2NN (0115 9861888)

Anglo Venture 2000 Ltd, The Mill, Hatfield Health, Bishop's Stortford, Herts, CM22 7DL (01279 730733)

Aquaflush Medical Ltd: distributed by Charles S Bullen (Stomacare) Ltd

Aspen Medical Europe Ltd, Thornhill Road, North Moon’s Moat, Redditch, Worcestershire, B98 9NL (01527 587728)

Avanos Medical, Abbey House, 25 Clarendon Road, Redhill, Surrey, RH1 1QZ (0800 9176585)

B. Braun Medical, Thorncliffe Park, Sheffield, S35 2PW (0114 225 9000)

BagBag Quality Ostomy Covers, Felledge Farm, Waldridge Lane, Chester Moor, Chester Le Street, Durham,DH2 3RX (0191 3888405)

BSN medical Ltd, PO Box 258, Willerby, Hull, HU10 6WT (01482 670100)

CD Medical Ltd, Aston Grange, Oker, Matlock, Derbyshire, DE4 2JJ (01629 733860)

Charles S Bullen (Stomacare) Ltd, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool,L3 4BH (0800 888 501)

CliniMed Ltd, Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks, HP10 9QY (01628 850100)

CliniSupplies Ltd, Qualitas House, 100 Elmgrove Road, Harrow, Middlesex, HA1 2RW (0208 8634168)

Coloplast Ltd, Peterborough Business Park, Peterborough, PE2 6FX (01733 392000)

ConvaTec Ltd, GDC First Avenue, Deeside Industrial Park, Deeside, Flintshire, CH5 2NU (01244 584000)

Cover Care, Trent House, Meadowbank Way, Eastwood, Nottingham, NG16 3SB (01773 536816)

CUI International, 31 St John Street, Leicester, LE1 3WL (0116 2624333)

Cuxson Gerrard & Company Ltd, 125 Broadwell Road, Oldbury, Warley, West Midlands, B69 4BF (0121 5447117)

Dansac Ltd, James Hall, St Ives Business Park, Parsons Green, St Ives, Cambridgeshire, PE27 4AA (01480 484300)

DBT Medical Ltd, 14 Eagle Industrial Estate, The Crofts, Witney, OX28 4DJ (01993 773673)

Derma Sciences Europe Ltd, 1A Park Street, Suite 2, Maidenhead, Berkshire, SL6 1SL (01628 625916)

Ecolab, Lotherton Way, Garforth, Leeds, LS25 2JY (0113 2320066)

Fontus Health Ltd, 60 Lichfield Street, Walsall, WS4 2BX (0121 6614615)

H&R Healthcare Ltd, Unit 3 Melton Park, Redcliff Road, Melton, East Yorkshire, HU14 3RS (01482 631606)

Hollister Ltd, Rectory Court, 42 Broad Street, Wokingham, Berkshire, RG40 1AB (0118 989 5000) (Retail Pharmacy Order Line 0800 521392)

Jade-Euro-Med Ltd, Unit 14, East Hanningfield Industrial Estate, Old Church Road, East Hanningfield, Chelmsford, Essex, CM3 8BG (01245 400413)

Kavendor Ltd, 93a Old Park Road, Leeds, LS8 1DG (0113 2662096)

Loxley Products: Unit 8, South Lincolnshire Enterprise Agency, Station Road East, Grantham, Lincolnshire,NG31 6HX (01476 560194)

Manfred Sauer UK Ltd, Unit 3 io Centre, Lodge Farm, Northampton, NN5 7UW (01604 588090)

880

11/2019 Part IXCSTOMA APPLIANCES

MANUFACTURERS' ADDRESSES AND TELEPHONE NUMBERS (STOMA APPLIANCES)

Marlen Healthcare Ltd, Shell Buildings, Malt Mill Lane, Blackheath, Halesowen, West Midlands, B62 8JB (0330 5551250)

Medicareplus International Ltd, Chemilines House, Alperton Lane, Wembley, Middlesex, HA0 1DX (020 87997891)

Medicina Ltd, Unit 2 Rivington View Business Park, Station Road, Blackrod, Bolton BL6 5BN (01204 695050)

MedLogic Global Ltd, Western Wood Way, Language Science Park, Plympton, Plymouth, Devon, PL7 5BG(01752 209955)

Nu-Hope Laboratories: distributed by Penlan Medical Ltd, 2 New Row, Deeping St James, Lincolnshire, PE6 8NA (0784 1838036)

Oakmed Ltd, Unit B, The io Centre, Barn Way, Lodge Farm Industrial Estate, Northampton, NN5 7UW(01604 586529)

Omex Medical Ltd, Unit T6, Rudford Industrial Estate, Ford, Arundel, West Sussex, BN18 0BF (01903) 733377

Opus Healthcare (An Alliance Pharmaceuticals Company), Avonbridge House, Bath Road, Chippenham, SN152BB (01249 466966)

Orthotic Services Ltd, Heartlands House, 19 Cato Street, The Heartlands, Birmingham, B7 4TS (0121 3596323)

S G & P Payne, Glacier Buildings, Brunswick Business Park, Harrington Road, Liverpool, L3 4BH (0800 888 501)

Peak Medical Ltd, Unit 4 Manor Farm Barns, Cornbury Park, Finstock, Oxfordshire, OX7 3DG (01608 811690)

Pelican Healthcare Ltd, Cardiff Business Park, Cardiff, CF14 5WF (02920 747000)

ProSys International Ltd, Suite 303, Highland House, 165 The Broadway, Wimbledon, SW19 1NE (0208 9447585)

Prosthetic Solutions Ltd, Institute of Pharmaceutical Innovation, University of Bradford, BD7 1DP (01274 236160)

Respond Healthcare Ltd, Greypoint, Cardiff Business Park, Cardiff, CF14 5WF (029 2076 7880)

Rhodes Pharma Ltd, Unit A, Newlands House, 60 Chain House Lane, Whitestake, Preston, PR4 4LG (01772 647442)

E Sallis Ltd, Vernon Works, Waterford Street, Old Basford, Nottingham, NG6 0DH (0115 9787841/2)

Salts Healthcare Ltd, Richard Street, Aston, Birmingham, B7 4AA (0121 3332000)

SASH, Woodhouse, Woodside Road, Hockley, Essex, SS5 4RU (01702 206502)

T J Shannon Ltd, 59 Bradford Street, Bolton, BL2 1HT (01204 521789)

A H Shaw and Partners Ltd, Manor Road, Ossett, West Yorkshire, WF5 0LF (01924 273474)

Smith & Nephew Healthcare Ltd, Healthcare House, 101 Hessle Road, Hull, HU3 2BN (01482 222200)

Thornton & Ross Ltd, Linthwaite, Huddersfield, West Yorkshire, HD7 5QH (01484 848200)

Trio Healthcare Ltd, Restoration Barn, Gargrave Road, Skipton, North Yorkshire, BD23 3AH (01756 700599)

Vanilla Blush, 171 Easterhill Street, Tollcross, Glasgow, G32 8LE (014176 30991)

Ward Surgical Appliance Company Ltd, 57A Brightwell Avenue, Westcliffe-on-Sea, Essex, SSO 9EB (01702 354064)

Welland Medical Ltd Products: distributed by CliniMed Ltd, Cavell House, Knaves Beech Way, Loudwater, High Wycombe, Bucks, HP10 9QY (01628 850100)

Wellspect HealthCare, Stroud Water Business Park, Brunel Way, Stonehouse, Gloucestershire, GL10 3SW (01453 791763)

881

11/2019 Part IXRCHEMICAL REAGENTS

Part IXR - Chemical Reagents

APPROVED LIST OF CHEMICAL REAGENTS

The only chemical reagents which may be supplied as part of the pharmaceutical services are those listed inPart IXR of the Tariff.

The price listed in respect of a chemical reagent specified in the following list is the basic price on which paymentwill be calculated pursuant to Part I, Clause 5B for the dispensing of that chemical reagent.

The Notes to Part IX shall also apply to Part IXR when 'chemical reagent(s)' shall be substituted for 'appliance(s)'.

All quantities within this section are those of the manufacturer’s original pack and are special containers (seeDrug Tariff Part II, Clause 10B)

Chemical Reagent Quantity Basic Price P

DETECTION STRIPS, URINE(Supplied with an instruction sheet, analysis record and colour chart)Detection Strips, urine for Glycosuria

Diastix 50 289

Medi-Test Glucose 50 233

Detection Strips, urine for Ketonuria (Acetonuria)GlucoRx KetoRx Sticks 2GK 50 225

Ketostix 50 306

Detection Strips, urine for ProteinuriaAlbustix 50 410

Medi Test Protein 2 50 327

DETECTION STRIPS, BLOOD FOR GLUCOSE(Supplied with an instruction sheet, analysis record and colour chart) Meters for use with Blood Glucose Testing Strips or Discs are not available separately on prescription Colorimetric Strips - visually readable

Betachek Visual 50 680

Glucoflex-R 50 675

Biosensor Strips - to be read only with the appropriate meter4SURE 50 899

Advocate Redi-Code+ 50 995

AutoSense 25 450

Aviva 50 1621

BGStar 50 1473

CareSens N 50 1275

CareSens PRO 50 995

Contour 50 999

Contour Next 50 1516

Contour Plus 50 850

882

Part IXR 11/2019CHEMICAL REAGENTS

APPROVED LIST OF CHEMICAL REAGENTS

Contour TS 50 960

Dario 50 1495

Dario Lite 50 995

PeBchek 50 1589

Element 50 989

Finetest Lite 50 595

Fora Advanced pro GD40 (glucose) 50 925

FreeStyle 50 1640

FreeStyle Lite 50 1641

FreeStyle Optium 50 1630

GlucoDock Glucose 50 1490

GlucoLab 50 989

GlucoMen areo Sensor 50 995

GlucoMen LX Sensor 50 1576

GlucoRx HCT Glucose Test Strips 50 895

GlucoRx GO 50 995

GlucoRx GO Professional 50 995

GlucoRx Nexus Strips 50 895

GlucoRx Q 50 545 GlucoZen.auto 50 764

100 1085

GluNEO 50 989

Guide 50 1621

XiHealth 50 949

IME-DC 50 1410

Kinetik Wellbeing 50 849100 1398

Xto be deleted 1 December 2019Pto be deleted 1 January 2020

Chemical Reagent Quantity Basic Price P

883

11/2019 Part IXRCHEMICAL REAGENTS

APPROVED LIST OF CHEMICAL REAGENTS

Chemical Reagent Quantity Basic Price P

Medisense SoftSense 50 1505

MediTouch 50 1490

MediTouch 2 50 1249

Microdot+ 50 949

Microdot Max 50 749

MODZ 50 1400

Myglucohealth 50 1550

Mylife Pura 50 950

Mylife Unio 50 950

OKmeter Core 50 990

Omnitest 3 50 989

Omnitest 5 50 989

On-Call Advanced 50 1365

OneTouch Select Plus 50 999

OneTouch Verio 50 1512

palmdoc 50 590

palmdoc iCare Advanced 50 970

palmdoc iCare Advanced Solo 50 1350

Performa 50 750

SD Codefree 50 699

Sensocard 50 1630

SURESIGN Resure 50 849

TEE2 50 775

True Metrix 50 695100 1250

884

11/2019 Part IXRCHEMICAL REAGENTS

APPROVED LIST OF CHEMICAL REAGENTS

TRUEresult 50 1499

TRUEyou 50 992

VivaChek Ino 50 899

WaveSense JAZZ 50 874

WaveSense JAZZ Duo 50 874

Biosensor Discs - to be read only with the appropriate meterBreeze 2 5 discs of 10 strips each 1500

Mendor Discreet 50 1475

Colorimetric Strips - to be read only with the appropriate meterActive 50 1003

Betachek G5 50 1419

XCompact 3 drums of 17 strips each 1665

Colorimetric Cassette - to be read only with the appropriate meterBetachek C50 100 2998

Mobile 50 999

Colorimetric Test TipFineTouch testing tips 50 1400

DETECTION STRIPS, BLOOD FOR GLUCOSE AND KETONES - to be read only with the appropriate meter

KEYA Smart 50 1586

Xto be deleted 1 December 2019

Chemical Reagent Quantity Basic Price P

885

11/2019 Part IXRCHEMICAL REAGENTS

APPROVED LIST OF CHEMICAL REAGENTS

Chemical Reagent Quantity Basic Price P

DETECTION STRIPS, BLOOD FOR KETONES (Beta-Hydroxybuterate) - to be read only with the appropriate meter

4SURE ß-Ketone Test Strips 4S-810-4183401-001 10 992

Fora Advanced pro GD40 (ketone) 10 925

FreeStyle Optium ß-Ketone Test Strips 70784-35 10 2194

GlucoMen areo Ketone Sensors 48106 10 995

GlucoMen LX Ketone Test Strips 42216 10 2106

GlucoRx HCT Ketone Test Strips 10 995

KetoSens PKA1E0020 10 995

DETECTION STRIPS, BLOOD FOR DETERMINATION OF INTERNATIONAL NORMALISED RATIO (INR) - to be read only with the appropriate meter

Alere INRatio 0100071 12 30530100139 48 11935

CoaguChek PT Test 06688721 48 13808

CoaguChek XS PT 04625358 24 706304625315 48 13808

CoaguChek XS PT Test PST 07671687019 24 7063

DETECTION PAD, SWEAT FOR NEUROPATHYNeuropad 2 728